Organization
CAPE CARTERET FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE D LILES NP (OWNER)
(252) 764-2121
Entity
Organization
Contact information
Practice address
1057 CEDAR POINT BLVD, UNIT D, CEDAR POINT, NC 28584-8020
(252) 764-2121
(252) 764-2135
Mailing address
1057 CEDAR POINT BLVD, UNIT D, CEDAR POINT, NC 28584-8020
(252) 764-2121
(252) 764-2135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201471
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004401
—
NC
Enumeration date
02/20/2007
Last updated
10/22/2014
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