NPI 1003200460
Nc Gaa PC
Practice location
- Address
- 1011 Woodridge Dr, Lumberton, NC 28358-3328
- Phone
- (910) 739-8825
- Fax
- (910) 739-8823
- Mailing address
- PO Box 865222, Orlando, FL 32886-5222
Authorised official
- Name
- Richard Bear
- Title
- Ceo
- Phone
- (888) 337-3509
Registered specialties (2)
Certified Registered Nurse Anesthetist
Primary
Anesthesiology Physician
Registry record
- NPI
- 1003200460
- Entity type
- Organization
- NPI issued
- 24 Mar 2015
- Record last updated
- 24 Mar 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.