Whiteville Medical Clinic, Llc

NPI 1073754636 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1073754636
Enumeration Date 03/11/2009
Last Updated 03/11/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name DEE DEE
Position DNP
Phone (901) 626-6626
Fax
Practice Location
2060 US HIGHWAY 64
SUITE C
WHITEVILLE TN, 38075-7476, US
Phone (901) 626-6626
Fax
Business Location
2060 US HIGHWAY 64
SUITE C
WHITEVILLE TN, 38075-7476, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State
License Number
Remove 1073754636 NPI Number
 

According to our database, Whiteville Medical Clinic, Llc NPI is 1073754636, taxonomy code is 363LA2200X Whiteville Medical Clinic, Llc physically located at 2060 Us Highway 64, Whiteville TN, 38075-7476. NPI Number 1033115704 has the healthcare provider type.

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1073754636 NPI number is provided on an as is basis without warranty of any kind. 1073754636 is maintained by the National Plan & Provider Enumeration System. The contents of Whiteville Medical Clinic, Llc are for informational purposes only.