Organization · Type 2 NPI

Scotland Regional Health Network

Family Medicine Physician · Wagram, NC

NPI number 1982913422 Active

Practice location

24420 Marlboro Street
Wagram, NC 28396-9600

Call (919) 369-3136 Map

Fax (910) 369-4756

Mailing address

PO Box 602458
Charlotte, NC 28260-2458

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NPI record

NPI: 1982913422
Entity type: Organization (Type 2)
Issued: Oct 1, 2010
Last updated: Jan 11, 2017
Status: Active
Subpart: Yes of Scotland Regional Health Network

Other names

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Wagram Family Practice · doing business as

Authorized official

Mathew David Pracht
Treasurer
(910) 291-7920

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1982913422

Scotland Regional Health Network's National Provider Identifier is 1982913422, issued on Oct 1, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Wagram, NC. The record was last updated on Jan 11, 2017.