Individual
MRS. BARBARA CASEY MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 NEW BRIDGE ST, JACKSONVILLE, NC 28540-5435
(910) 347-5185
(910) 347-9298
Mailing address
PO BOX 250, JACKSONVILLE, NC 28541-0250
(910) 347-5185
(910) 347-9298
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77000020
—
NC
Enumeration date
06/15/2011
Last updated
06/15/2011
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