Organization
LITTLETON FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURALEE WILSON MD (OFFICE MANAGER)
(252) 586-4923
Entity
Organization
Contact information
Practice address
143 ELAMS RD, LITTLETON, NC 27850-8479
(252) 586-4923
(252) 586-9809
Mailing address
143 ELAMS RD, LITTLETON, NC 27850-8479
(252) 586-4923
(252) 586-9809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017EP
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/01/2006
Last updated
08/22/2020
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