Healthcare Provider Details

I. General information

NPI: 1922177286
Provider Name (Legal Business Name): COUNTY OF ROBESON OFFICE OF TREASURER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 COUNTRY CLUB RD
LUMBERTON NC
28360-9494
US

IV. Provider business mailing address

460 COUNTRY CLUB RD
LUMBERTON NC
28360-9494
US

V. Phone/Fax

Practice location:
  • Phone: 910-671-3200
  • Fax: 910-671-3484
Mailing address:
  • Phone: 910-671-3200
  • Fax: 910-671-3484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUZANNE B JACKSON
Title or Position: HEALTH DIRECTOR
Credential: MPH
Phone: 910-671-3404