Organization
SEVEN LAKES MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MERKOW (CREDENTIALING MANAGER)
(727) 800-9958
Entity
Organization
Contact information
Practice address
4317 SEVEN LAKES PLAZA, WEST END, NC 27376
(910) 673-2225
(910) 673-4325
Mailing address
PO BOX 277, WEST END, NC 27376-0277
(910) 673-2225
(910) 673-4325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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