Buffalo Lake Medical, Pllc
NPI #1699178897 in Cameron, North Carolina
Provider Information
- NPI Number
- 1699178897
- Entity Type
- Organization
- Organization Name
- Buffalo Lake Medical, Pllc
- Primary Specialty
- Clinic/Center - Research
- Enumeration Date
- Oct 1, 2014
- Last Updated
- Dec 13, 2023
Practice Location
- Address
- 181 MITTIE HADDOCK DR.
- City
- Cameron
- State
- North Carolina
- ZIP Code
- 28326
- Phone
- (919) 842-5566
Authorized Official
- Name
- MRS. RONNITA HOLDEN, PA-C
- Title
- OWNER OF GROUP
- Phone
- (919) 842-5566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Clinic/Center - Research — Research |
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