Organization
MULTISPECIALTY PHYSICIAN SERVICES GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAREN HAMMONDS (INSURANCE)
(910) 618-1644
Entity
Organization
Contact information
Practice address
4380 FAYETTEVILLE RD, LUMBERTON, NC 28358-2677
(910) 618-1644
Mailing address
PO BOX 80552, RALEIGH, NC 27623-0552
(910) 618-1644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26678
NC
Other
Enumeration date
04/04/2007
Last updated
10/18/2007
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