PHOENIX LOCKLEAR

LUMBERTON, NC
NPI1942083100
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-13860)
Enumeration Date2023-08-14
Last Update Date2024-12-18
Business Address
Mr. PHOENIX LOCKLEAR
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-671-5000
Mailing Address
Mr. PHOENIX LOCKLEAR
63 BURNS RD
LUMBERTON, NC 28358-0106
Phone number:
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