Provider Information for 1356777569
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ROBESON HEALTH CARE CORPORATION
Other Names:Doing Business As:MAXTON MEDICAL CENTER PHARMACYOrganization Subpart: NO
NPI: 1356777569
Last Updated: 2019-11-08
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Details
Name | Value | ||||||||
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NPI | 1356777569 | ||||||||
Enumeration Date | 2013-09-19 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: GEORGE TIMOTHY HALL Title: PRESIDENT/CEO Phone: 9105212900 | ||||||||
Mailing Address | 60 COMMERCE PLAZA CIR PEMBROKE, NC 28372-7386 United States Phone: 910-521-2900 | Fax:910-775-9165 | ||||||||
Primary Practice Address | 610 E DR MARTIN LUTHER KING JR DR MAXTON, NC 28364 United States Phone: 910-844-5253 | Fax:910-844-3290 | ||||||||
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