Organization
LAUREL HILL MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BHIRO (CORP. SECRETARY)
(910) 462-2707
Entity
Organization
Contact information
Practice address
18901 IDA MILL RD, LAUREL HILL, NC 28351-8326
(910) 462-2707
(910) 462-4184
Mailing address
18901 IDA MILL RD, LAUREL HILL, NC 28351-8326
(910) 462-2707
(910) 462-4184
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343964A
—
NC
Enumeration date
10/10/2006
Last updated
11/02/2010
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