Healing Waters North Carolina

NPI 1083007207 - Surgery - 208600000X

NPI Details
NPI 1083007207
Enumeration Date 03/12/2015
Last Updated 03/12/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MARY MARY
Position MANAGER
Phone (919) 572-1710
Fax
Practice Location
6813 FAYETTEVILLE RD
DURHAM NC, 27713-8721, US
Phone (919) 572-1710
Fax
Business Location
6120 SHADYBROOK ST
WICHITA KS, 67208-1862, US
Phone (316) 633-4413
Fax (877) 381-0101
Toxanomy
Taxonomy Code 208600000X
License State North Carolina
License Number 200300784
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According to our database, Healing Waters North Carolina NPI is 1083007207, taxonomy code is 208600000X and license number is 200300784, license state is located at North Carolina. Healing Waters North Carolina physically located at 6813 Fayetteville Rd, Durham NC, 27713-8721. NPI Number 1033115704 has the healthcare provider type.

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1083007207 NPI number is provided on an as is basis without warranty of any kind. 1083007207 is maintained by the National Plan & Provider Enumeration System. The contents of Healing Waters North Carolina are for informational purposes only.