| Larry L Hemby | |
|
621a N Fodale Ave Southport NC 28461-3550 | |
| (910) 457-5026 | |
| (910) 457-6207 |
| Full Name | Larry L Hemby |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 621a N Fodale Ave, Southport, North Carolina |
| Authorized Official Name and Position | Larry Lou Hemby (DENTIST) |
| Authorized Official Contact | 9104575026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry L Hemby 621a N Fodale Ave Southport NC 28461-3550 Ph: (910) 457-5026 | Larry L Hemby 621a N Fodale Ave Southport NC 28461-3550 Ph: (910) 457-5026 |
| NPI Number | 1710182365 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710182365 | NPI | - | NPPES |
| 8993776 | Medicaid | NC | |
| 893776 | Other | NC | OTHER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4065 (North Carolina) | Primary |
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