Individual
MARY LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 N PATTERSON ST, MAXTON, NC 28364-1735
(910) 723-7570
Mailing address
114 N PATTERSON ST, MAXTON, NC 28364-1735
(910) 723-7570
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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