Organization
FAMILY MEDICINE ASSOCIATES OF LINCOLN COUNTY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE A CHAPMAN (PRACTICE MANAGER)
(704) 732-8736
Entity
Organization
Contact information
Practice address
1531 N ASPEN ST, LINCOLNTON, NC 28092-7268
(704) 732-8736
(704) 732-8121
Mailing address
1531 N ASPEN ST, LINCOLNTON, NC 28092-7268
(704) 732-8736
(704) 732-8121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
119460
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016RV
BLUE CROSS BLUE SHIELD-NC
NC
05
—
89016RV
—
NC
Enumeration date
03/23/2006
Last updated
06/07/2011
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