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Organization

LUMBERTON EMERGENCY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES CLEARY MD (PRESIDENT)
(910) 737-3140
Entity
Organization

Contact information

Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(800) 476-8646
(919) 382-3210
Mailing address
75 REMITTANCE DR, SUITE 6679, CHICAGO, IL 60675-1001
(800) 476-8646
(919) 382-3210

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9999999
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021N9
BCBS OF NORTH CAROLINA
NC
Enumeration date
04/16/2009
Last updated
06/22/2009
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