Organization
CARRBORO FAMILY MEDICINE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH ANN BULLOCK (ADMINISTRATIVE ASSISTANT)
(919) 929-1747
Entity
Organization
Contact information
Practice address
610 JONES FERRY RD, STE 102, CARRBORO, NC 27510-6113
(919) 929-1747
(919) 933-5168
Mailing address
610 JONES FERRY RD, STE 102, CARRBORO, NC 27510-6113
(919) 929-1747
(919) 933-5168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972719698
—
NC
Enumeration date
05/16/2007
Last updated
11/02/2021
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