Organization
WEST LUMBERTON MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL CUMMINGS PA (ADMINISTRATOR)
(910) 671-0065
Entity
Organization
Contact information
Practice address
585 FARRINGDOM ST, LUMBERTON, NC 28358-2614
(910) 671-0065
Mailing address
585 FARRINGDOM ST, LUMBERTON, NC 28358-2614
(910) 671-0065
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343901A
—
NC
Enumeration date
08/21/2008
Last updated
09/02/2008
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