Community Innovations

NPI 1003017179 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1003017179
Enumeration Date 05/29/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANDY ANDY
Position PRESIDENT
Phone (910) 640-2724
Fax (910) 640-3474
Practice Location
118 E WALTER ST
WHITEVILLE NC, 28472-4142, US
Phone (910) 640-2724
Fax (910) 640-3474
Business Location
3210 FAIRHILL DR
RALEIGH NC, 27612-3220, US
Phone (919) 256-0824
Fax (919) 256-8750
Toxanomy
Taxonomy Code 2084P0800X
License State
License Number
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According to our database, Community Innovations NPI is 1003017179, taxonomy code is 2084P0800X Community Innovations physically located at 118 E Walter St, Whiteville NC, 28472-4142. NPI Number 1033115704 has the healthcare provider type.

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1003017179 NPI number is provided on an as is basis without warranty of any kind. 1003017179 is maintained by the National Plan & Provider Enumeration System. The contents of Community Innovations are for informational purposes only.