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NPI Code Detail

MEDICARE: MS. MARIBETH HORGAN SCHRUM P.A.-C

MEDICARE: MS. MARIBETH HORGAN SCHRUM P.A.-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant102883NC

General Provider Information

NPI Number : 1124084439
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIBETH HORGAN SCHRUM P.A.-C
Provider Business Mailing Address
First Line : 500 E LAUCHWOOD DR
Second Line :
City : LAURINBURG
State : NC
Zip : 28352-5501
Country : US
Telephone Number : 910-291-7630
Fax Number :
Provider Business Practice Location Address
First Line : 4117 N ROXBORO ST
Second Line :
City : DURHAM
State : NC
Zip : 27704-2121
Country : US
Telephone Number : 910-291-7630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 06/30/2008

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