Provider Demographics
NPI:1255657961
Name:CARRBORO FAMILY CLINIC NP P.A
Entity Type:Organization
Organization Name:CARRBORO FAMILY CLINIC NP P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/FNP
Authorized Official - Prefix:
Authorized Official - First Name:XIAO
Authorized Official - Middle Name:Q
Authorized Official - Last Name:MCLINTON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP,MSN,RN
Authorized Official - Phone:919-929-3029
Mailing Address - Street 1:104 W HWY 54 STE JJ
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1597
Mailing Address - Country:US
Mailing Address - Phone:919-929-3029
Mailing Address - Fax:919-929-3028
Practice Address - Street 1:104 W HWY 54 STE JJ
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1597
Practice Address - Country:US
Practice Address - Phone:919-929-3029
Practice Address - Fax:919-929-3028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care