Fair Bluff Medical Clinic Pllc
NPI #1699661652 in Fair Bluff, North Carolina
Provider Information
- NPI Number
- 1699661652
- Entity Type
- Organization
- Organization Name
- Fair Bluff Medical Clinic Pllc
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 16, 2025
- Last Updated
- Aug 27, 2025
Practice Location
- Address
- 12291 ANDREW JACKSON HWY SW
- City
- Fair Bluff
- State
- North Carolina
- ZIP Code
- 28439-9597
- Phone
- (910) 207-2714
Authorized Official
- Name
- ELIZABETH PAIGE BLACKWELL, NP
- Title
- OWNER
- Phone
- (910) 374-0722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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