| Anson Psr | |
|
219 S Rutherford St Wadesboro NC 28170-2651 | |
| (704) 694-9488 | |
| Not Available |
| Full Name | Anson Psr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 219 S Rutherford St, Wadesboro, North Carolina |
| Authorized Official Name and Position | Kevin Cochran (FINANCIAL ASSISTANT) |
| Authorized Official Contact | 9199810740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anson Psr 1331 Sunday Dr Raleigh NC 27607 Ph: (919) 981-0740 | Anson Psr 219 S Rutherford St Wadesboro NC 28170-2651 Ph: (704) 694-9488 |
| NPI Number | 1144353178 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144353178 | NPI | - | NPPES |
| 8300436S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-004-005 (North Carolina) | Primary |
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