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Health Care Providers in Bolivia, North Carolina

Organization, NamePractice AddressPractice Phone  TaxonomyNPI
Adams, James Bruce MD240 Hospital Dr Ne      Bolivia  NC 28422-8346910-755-1004207R00000X1982682712
MEDICARE UPIN : C81440 || MEDICAID NC : 8910271 || MEDICARE PIN NC : 202718A
Asbury, Dr. Justin E D.O.584 Hospital Dr Ne Ste C      Bolivia  NC 28422-9047423-542-7420207Q00000X1033370192
MEDICARE PIN TN : 103I084469 || MEDICAID TN : 1526786 || OTHER TN BCBS : 4309333
Barnes, Dr. Astin Victoria D.D.S.100 Brunswick Medical Center Pkwy Ne      Bolivia  NC 28422-1001910-253-9000122300000X1255782611
Bauer, Mr. Paul LPCA710 Creekway Cir Se      Bolivia  NC 28422-8268910-409-5238101YP2500X1043617921
Benenati, Matt DO584 Hospital Dr Ne Ste A      Bolivia  NC 28422-9047910-721-4000208600000X1104058817
MEDICAID NC : 1104058817 || MEDICARE PIN : NCO941A
Bertsch, Ms. Angeline Mccormick MSN-CRNP-ADULT25 Courthouse Dr      Bolivia  NC 28422-7582910-253-2248363LA2200X1972507259
MEDICARE ID : 2592273 || MEDICARE UPIN : P13887
Billings, Nicholas Proch DO240 Hospital Dr Ne      Bolivia  NC 28422-8346910-721-1000207P00000X1811252216
Bodenheimer, Dr. Nicholas Barrett DO584 Hospital Drive  Suite B    Bolivia  NC 28422-9047910-721-4050207V00000X1457642134
Bracken, Dr. Roberta Samelson M.D.25 Courthouse Dr Ne      Bolivia  NC 28422910-253-2250207RE0101X1770557753
MEDICARE PIN NC : NCA534A || MEDICARE UPIN : E89434 || MEDICAID NC : 1770557753 || MEDICAID NC : 8917621 || MEDICARE PIN NC : 2173784B
Brann, Christopher Adams MD240 Hospital Dr Ne      Bolivia  NC 28422-8346910-721-1477207L00000X1679583835
MEDICARE UPIN : E30303 || OTHER SC SC MEDICAID : NC1348 || MEDICARE PIN NC : 2021897
Brown, Ms. Sara J NP584 Hospital Dr Ne  Ste. B    Bolivia  NC 28422-9047910-721-4050363L00000X1629008149
MEDICARE ID NC : 2598044C || MEDICAID NC : 7000197 || MEDICARE PIN NC : NC8214A || MEDICARE UPIN NC : S76835
Carley, Richard S. M.D.240 Hospital Dr Ne      Bolivia  NC 28422-8346843-497-5929207P00000X1194723882
MEDICAID NC : 89131EW || MEDICARE PIN NC : 2279992A || MEDICARE UPIN NC : H12492
Chambers, Ms. April Dyan C.R.N.A.240 Hospital Dr      Bolivia  NC 28422817-689-6259367500000X1619297371
Conley, Martin J Jr. M.D.584 Hospital Drive  Suite E    Bolivia  NC 28422-9047910-754-5453207R00000X1376537118
MEDICARE PIN NC : NC7008A || MEDICARE PIN NC : 205548 || MEDICARE UPIN NC : C83316 || MEDICAID NC : 8923875 || MEDICARE PIN NC : NC7008C || MEDICARE PIN NC : NC7008D || OTHER NC RAILROAD MEDICARE : 110065484 || MEDICAID NC : 1376537118 || MEDICARE PIN NC : 205547
Coons, Ms. Caryn Marie LPC-S1041 Old Ocean Hwy      Bolivia  NC 28422-8584910-754-7908101YP2500X1033150628
MEDICAID NC : 6102265 || OTHER SC FORMER TAX ID OF OLD CORP : 043677617
Davis, Dr. Gregory MD240 Hospital Dr Ne      Bolivia  NC 28422-8346843-497-5929207P00000X1164438602
MEDICARE PIN NC : NC7630A
Deletetsky, Ms. Alyson Marie LPC655 Gilbert Rd Se      Bolivia  NC 28422-8757207-590-9756101Y00000X1679887095
Desandre, Adolfo Richard M.D.584 Hospital Dr  Suite A    Bolivia  NC 28422910-721-4000208600000X1710963475
OTHER NC NC MEDICAL LICENSE : 9801631 || MEDICARE ID NC : 2266990A || OTHER SC SC MEDICAL LICENSE : 20712 || MEDICAID NC : 8911805 || MEDICARE PIN NC : 2266990B || MEDICARE UPIN NC : C56908
Dibble, David Joseph D.O.240 Hospital Dr Ne      Bolivia  NC 28422-8346910-721-1000207P00000X1710025341
MEDICARE PIN NC : NCB094A || MEDICAID NC : 5907240 || MEDICAID SC : Q0064L || OTHER NC MEDICAL LICENSE : 2007-00648
Doherty, Mrs. Dianne Amos N.P.75 Stamp Act Dr  Building H    Bolivia  NC 28422-8320910-253-5788363LA2200X1821091976
MEDICARE ID : 500000789 || OTHER MEDICARE RAILROAD : 500022022 || MEDICAID VA : 010125715 || MEDICARE UPIN : S59452
Dunn, Holly MD240 Hospital Dr Ne      Bolivia  NC 28422-8346843-497-5929207P00000X1689680720
MEDICARE PIN NC : NCG734A || MEDICAID NC : 1689680720
Ellis, Patricia RD25 Courthouse Dr Ne      Bolivia  NC 28422888-428-4429133N00000X1154584191
Faircloth, William Joseph MD240 Hospital Dr Ne      Bolivia  NC 28422-8346910-755-1004207R00000X1649311457
MEDICARE PIN NC : 2248189D || MEDICAID NC : 891117J || MEDICAID SC : N00346 || MEDICAID NC : 890282V || MEDICARE UPIN : G62682
Fillman, Kimberly Mallick P.A.240 Hospital Dr Ne      Bolivia  NC 28422-8346843-497-5929363A00000X1578563235
MEDICARE PIN NC : 2752561E
Frostad, Kirsten MHS, PA-C240 Hospital Dr Ne      Bolivia  NC 28422-8346910-721-2070363A00000X1801211420
Gardner, Lauren Houghton ACNP-BC584 Hospital Dr Ne  Suite E    Bolivia  NC 28422-9047910-754-5453363L00000X1740532043
MEDICAID NC : 1740532043 || MEDICARE PIN NC : NCA433B || MEDICARE PIN NC : NCA433A
Goodnight Delabastide, Sarah Hayden PA-C240 Hospital Dr Ne      Bolivia  NC 28422-8346910-721-2070363A00000X1629499439
Grissett, Ms. Christine CRNA240 Hospital Dr Ne      Bolivia  NC 28422-8346910-755-1004367500000X1336425099
MEDICAID NC : 8054099 || MEDICARE PIN NC : NC3408A
Hamby, Mr. Kenneth Jerome D.O.584 Hospital Dr Ne  Suite C    Bolivia  NC 28422-9047910-721-4100207Q00000X1225278914
Hanna, Dr. Mark Jamieson DO240 Hospital Dr Ne      Bolivia  NC 28422-8346843-497-5929207P00000X1912940727
MEDICARE UPIN SC : F78768
Hisley, Dr. John C M..25 Courthouse Dr Ne      Bolivia  NC 28422910-253-2250207V00000X1841324035
MEDICARE UPIN NC : CA4520
Hisley, Shelton M OB GYN NP25 Courthouse Dr. Ne      Bolivia  NC 28422910-253-2250363LX0001X1891829008
Hobbs, Joseph Henry PA240 Hospital Dr Ne      Bolivia  NC 28422-8346843-497-5929363A00000X1376507186
OTHER NC STATE MEDICAL LICENSE : 0010-03447 || MEDICARE UPIN MD : P95580
Honaker, Jason K PA584 Hospital Dr Ne  Suite C    Bolivia  NC 28422-0019910-721-4100363A00000X1215067541
Hudson, Donald PHD584 Hospital Dr Ne  Suite A    Bolivia  NC 28422-0019704-316-7585103T00000X1306396130
Hunt, Dr. Cassandra Auman PHARMD3234 Mooring Dr Se      Bolivia  NC 28422-8123910-842-5221183500000X1437430139
Johnson, Ms. Anneke LPCA63 Stamp Act Dr Bldg M      Bolivia  NC 28422-8320910-253-2456101YP2500X1841544947
Jones, Kathleen Rose PA584 Hospital Dr  Suite E    Bolivia  NC 28422-9047910-754-5453363A00000X1447286729
MEDICARE UPIN : Q70402 || MEDICAID NC : 8101336 || MEDICAID NC : 1447286729 || MEDICARE PIN NC : NC4370A || MEDICARE PIN NC : NC4370B || MEDICARE PIN : HE-AP2666 || MEDICARE PIN NC : 2762741
Kam, Mrs. Susan Beth M.A., LPA63 Stamp Act Drive      Bolivia  NC 28422910-253-4485103T00000X1235288622
Kiggins, Thomas B. LCSW, BCD639 Creekway Cir Se      Bolivia  NC 28422-8266910-880-99051041C0700X1114086329
MEDICAID NC : 6007790
Kinsley, Dr. Sarah Howell 100 Brunswick Medical Center Pkwy Ne      Bolivia  NC 28422-1001252-916-9453122300000X1932550449
Koehler, Ann M. SLP1070 Old Ocean Highway  Universal Healthcare Brunswick    Bolivia  NC 28422910-755-5955235Z00000X1154604346
Koenig, David J MD240 Hospital Dr Ne      Bolivia  NC 28422-8346910-721-2070207R00000X1811975469
OTHER IA RR MEDICARE : 110229063 || MEDICARE UPIN IA : F38699 || MEDICAID IA : 2107425 || MEDICARE PIN IA : I5197
Laboccetta, Dr. Lydia Toon MD584 Hospital Dr Ne  Suite D    Bolivia  NC 28422-9047910-721-4150208600000X1477716280
Lefebvre, Raven Grace LCSW63 Stamp Act Dr      Bolivia  NC 28422910-253-44851041C0700X1497947741
Madan, Dr. Shivanshu M.D.240 Hospital Dr Ne      Bolivia  NC 28422-8346910-721-2070207R00000X1245590108
Maguire, Judith Cameron PA-C240 Hospital Dr Ne      Bolivia  NC 28422-8346910-721-1000363A00000X1720449010
MEDICARE PIN NC : PENDING
Mason, Lawrence J MD240 Hospital Dr Ne      Bolivia  NC 28422-8346910-721-2070207R00000X1780812867
MEDICAID FL : 005960000
Mccarthy, Tracey Nicole DO584 Hospital Dr  Suite B    Bolivia  NC 28422910-721-4050207V00000X1679731822
MEDICAID NC : 5911526 || MEDICARE PIN NC : 2073275
Mckeithan, Edward Marvin NP3875 Business 17 E      Bolivia  NC 28422-8666910-253-7990363LF0000X1821295668
MEDICARE UPIN FL : 30148


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