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2835 Daisy Ln N Ste B Wilson NC 27896-6942 | |
(252) 234-0200 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 2835 Daisy Ln N Ste B, Wilson, North Carolina |
Authorized Official Name and Position | Pamela L Freeley (STATE BUSINESS ANALYST & CONTRACTS) |
Authorized Official Contact | 7049530827 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10304 Spotsylvania Ave Ste 300 Fredericksburg VA 22408-8605 Ph: (540) 710-2877 | 2835 Daisy Ln N Ste B Wilson NC 27896-6942 Ph: (252) 234-0200 |
NPI Number | 1114531993 |
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Provider Enumeration Date | 08/31/2020 |
Last Update Date | 01/24/2022 |
Certification Date | 01/24/2022 |
Identifier | Type | State | Issuer |
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1114531993 | NPI | - | NPPES |
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