Healthcare Provider Details

I. General information

NPI: 1205951563
Provider Name (Legal Business Name): NEWCOMB FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3211 US HIGHWAY 70 W
GOLDSBORO NC
27530-9567
US

IV. Provider business mailing address

3211 US HIGHWAY 70 W
GOLDSBORO NC
27530-9567
US

V. Phone/Fax

Practice location:
  • Phone: 919-736-4958
  • Fax: 919-736-7834
Mailing address:
  • Phone: 919-736-4958
  • Fax: 919-736-7834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License NumberFCL-096-006
License Number StateNC

VIII. Authorized Official

Name: MRS. LINDA SAULS NEWCOMB
Title or Position: ADDMINISTRATOR
Credential:
Phone: 919-736-4958