Psychiatric Services Of Eastern Carolina

NPI 1295095438 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1295095438
Enumeration Date 05/22/2012
Last Updated 05/22/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ROBERT ROBERT
Position OWNER
Phone (910) 526-3288
Fax
Practice Location
161 MENDOVER DR
JACKSONVILLE NC, 28546-9207, US
Phone (910) 526-3288
Fax
Business Location
161 MENDOVER DR
JACKSONVILLE NC, 28546-9207, US
Phone (910) 526-3288
Fax
Toxanomy
Taxonomy Code 363LP0808X
License State North Carolina
License Number 207454
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According to our database, Psychiatric Services Of Eastern Carolina NPI is 1295095438, taxonomy code is 363LP0808X and license number is 207454, license state is located at North Carolina. Psychiatric Services Of Eastern Carolina physically located at 161 Mendover Dr, Jacksonville NC, 28546-9207. NPI Number 1033115704 has the healthcare provider type.

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1295095438 NPI number is provided on an as is basis without warranty of any kind. 1295095438 is maintained by the National Plan & Provider Enumeration System. The contents of Psychiatric Services Of Eastern Carolina are for informational purposes only.