| Stantonsburg Medical Center | |
|
312 South Main Street Stantonsburg NC 27883-0400 | |
| (252) 238-2757 | |
| (252) 399-8829 |
| Full Name | Stantonsburg Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 312 South Main Street, Stantonsburg, North Carolina |
| Authorized Official Name and Position | Richard E. Hudson (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Contact | 2523998193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stantonsburg Medical Center 312 South Main Street P.o. Box 400 Stantonsburg NC 27883-0400 Ph: (252) 238-2757 | Stantonsburg Medical Center 312 South Main Street Stantonsburg NC 27883-0400 Ph: (252) 238-2757 |
| NPI Number | 1902932478 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 09/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902932478 | NPI | - | NPPES |
| 0232U | Other | NC | NC BLUE CROSS PROVIDER NO |
| 890232U | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |