Organization
WOMENS LIFE CENTER OF LUMBERTON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE GREENE (PRACTICE ADMINISTRATOR)
(910) 738-2454
Entity
Organization
Contact information
Practice address
17 LIVERMORE DR, PEMBROKE, NC 28372-7282
(910) 522-7220
(910) 522-7302
Mailing address
800 OAKRIDGE BLVD, LUMBERTON, NC 28358-2330
(910) 738-2454
(910) 671-9335
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0224J
BCBS
NC
05
—
890224J
—
NC
Enumeration date
07/03/2007
Last updated
05/19/2010
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