Organization
BLADEN HEALTHCARE, LLC
Active
Parent organization
BLADEN HEALTHCARE, LLC
Other names
Cape Fear Valley - Bladen Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLADEN HEALTHCARE, LLC
Authorized official
MR. DAVID MASTERSON (CEO)
(910) 862-5178
Entity
Organization
Contact information
Practice address
501 S POPLAR ST, ELIZABETHTOWN, NC 28337-9375
(910) 862-6308
(910) 862-5501
Mailing address
300 A EAST MCKAY STREET, ELIZABETHTOWN, NC 28337
(910) 862-6308
(910) 862-5501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H0154
NC
207R00000X
Internal Medicine Physician
Primary
H0154
NC
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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