Organization
LUMBERTON OBSTETRICS & GYNECOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ROGERS (OFFICE MANAGER)
(910) 738-9601
Entity
Organization
Contact information
Practice address
725 OAKRIDGE BLVD, SUITE C-1, LUMBERTON, NC 28358-2351
(910) 738-9601
Mailing address
725 OAKRIDGE BLVD, SUITE C-1, LUMBERTON, NC 28358-2351
(910) 738-9601
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012AW
BLUE CROSS BLUE SHIELD
NC
05
—
89012AW
—
NC
Enumeration date
09/29/2005
Last updated
08/22/2020
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