Four County Primary Care, Rllp

NPI 1811917412 - Clinic/Center - 261QP2300X

NPI Details
NPI 1811917412
Enumeration Date 07/19/2006
Last Updated 08/25/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JIMMY E. JIMMY
Position VICE PRESIDENT/FINANCE
Phone (252) 436-0440
Fax
Practice Location
120 CHARLES ROLLINS RD
SUITE 102
HENDERSON NC, 27536-2882, US
Phone (252) 436-0440
Fax
Business Location
120 CHARLES ROLLINS RD
SUITE 102
HENDERSON NC, 27536-2882, US
Phone (252) 436-0440
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
Remove 1811917412 NPI Number
 

According to our database, Four County Primary Care, Rllp NPI is 1811917412, taxonomy code is 261QP2300X Four County Primary Care, Rllp physically located at 120 Charles Rollins Rd, Henderson NC, 27536-2882. NPI Number 1033115704 has the healthcare provider type.

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1811917412 NPI number is provided on an as is basis without warranty of any kind. 1811917412 is maintained by the National Plan & Provider Enumeration System. The contents of Four County Primary Care, Rllp are for informational purposes only.