Provider Demographics
NPI:1023739281
Name:ABOVE & BEYOND WELLNESS - BLADEN
Entity type:Organization
Organization Name:ABOVE & BEYOND WELLNESS - BLADEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILBURN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:910-991-3060
Mailing Address - Street 1:101 S CRAIG ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:28337-3905
Mailing Address - Country:US
Mailing Address - Phone:910-991-3060
Mailing Address - Fax:910-226-7566
Practice Address - Street 1:101 S CRAIG ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:NC
Practice Address - Zip Code:28337-3905
Practice Address - Country:US
Practice Address - Phone:910-991-3060
Practice Address - Fax:910-226-7566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty