Organization
JAMESTOWN FAMILY PRACTICE AND URGENT CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA M LAWRENCE (PRACTICE ADMINISTRATOR)
(336) 454-1166
Entity
Organization
Contact information
Practice address
700 W MAIN ST, JAMESTOWN, NC 27282-9509
(336) 454-1166
(336) 454-3695
Mailing address
700 W MAIN ST, PO BOX 1176, JAMESTOWN, NC 27282-9509
(336) 454-1166
(336) 454-3695
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
53347
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890188K
—
NC
Enumeration date
02/08/2007
Last updated
08/22/2020
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