Organization · Type 2 NPI
University of North Carolina at Pembroke Student Health Services
Adolescent Medicine (Family Medicine) Physician · Pembroke, NC
Practice location
113 Hawk Drive
Pembroke, NC 28372-1510
Fax (910) 521-6549
Mailing address
PO Box 1510 Unc Pembroke Student Health Services
Pembroke, NC 28372-1510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician Primary | 207QA0000X | 183091 (NC) |
| Adult Medicine Physician | 207QA0505X | 183091 (NC) |
Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
2 other providers at this address
About NPI 1356845309
University of North Carolina at Pembroke Student Health Services's National Provider Identifier is 1356845309, issued on Mar 22, 2018. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Pembroke, NC. The record was last updated on Jul 13, 2026.