Organization
CHADBOURN FAMILY PRACTICE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLLIE ELKINS (PRACTICE MANAGER)
(910) 654-3143
Entity
Organization
Contact information
Practice address
104 E 7TH AVE, CHADBOURN, NC 28431-1402
(910) 654-3143
(910) 654-4144
Mailing address
104 E 7TH AVE, CHADBOURN, NC 28431-1402
(910) 654-3143
(910) 654-4144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343918A
—
NC
05
—
343918C
—
NC
Enumeration date
03/17/2006
Last updated
09/06/2023
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