Organization
CAROLINA FAMILY PRACTICE, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ERIC MCMANUS M.D. (PRESIDENT)
(919) 663-0085
Entity
Organization
Contact information
Practice address
801 W 3RD ST, SILER CITY, NC 27344-3037
(919) 663-0085
(919) 663-0289
Mailing address
801 W 3RD ST, SILER CITY, NC 27344-3037
(919) 663-0085
(919) 663-0289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32879
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011JY
BCBS OF NC
NC
05
—
89011JY
—
NC
Enumeration date
08/08/2006
Last updated
08/22/2020
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