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PHOENIX LOCKLEAR
Physician Assistant
NPI: 1942083100IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
0010-13860(NC)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2023
Contact & Hours
Via practice · 3 locations total
- Address
- 300 W 27TH ST
LUMBERTON, NC 28358 - Phone
- (910) 671-5000
Quick Facts
- NPI
- 1942083100
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 3
- Years in Practice
- 3
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