Healthcare Provider Details
I. General information
NPI: 1114116431
Provider Name (Legal Business Name): UWHARRIE FAMILY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/23/2007
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1630 NC HIGHWAY 24 27 W
BISCOE NC
27209-8068
US
IV. Provider business mailing address
1630 NC HIGHWAY 24 27 W P.O.BOX 429
BISCOE NC
27209-8068
US
V. Phone/Fax
- Phone: 910-220-1661
- Fax: 910-428-5225
- Phone: 910-220-1661
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 32404 |
| License Number State | NC |
VIII. Authorized Official
Name: DR.
DEBORAH
S
MCROBERTS
Title or Position: OWNER
Credential: M.D.
Phone: 910-220-1661