Organization
CNC FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID NELSON BUCKLAND PA-C (PRESIDENT)
(910) 428-1111
Entity
Organization
Contact information
Practice address
128 OKEEWEMEE STAR RD, STAR, NC 27356-7343
(910) 428-1111
(910) 428-2506
Mailing address
PO BOX 190, STAR, NC 27356-0190
(910) 428-1111
(910) 428-2506
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015AV
—
NC
Enumeration date
06/10/2005
Last updated
08/22/2020
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