| Brynn Marr Hospital Inc | |
|
192 Village Dr Jacksonville NC 28546-7238 | |
| (910) 577-1400 | |
| Not Available |
| Full Name | Brynn Marr Hospital Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 192 Village Dr, Jacksonville, North Carolina |
| Authorized Official Name and Position | Steve Filton (VICE PRESIDENT) |
| Authorized Official Contact | 6107683482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brynn Marr Hospital Inc 192 Village Dr Jacksonville NC 28546-7238 Ph: (910) 577-1400 | Brynn Marr Hospital Inc 192 Village Dr Jacksonville NC 28546-7238 Ph: (910) 577-1400 |
| NPI Number | 1568225845 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 7113836958 |
|---|---|
| Medicare Enrollment ID | O20040415001176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568225845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Andrew Venters Owens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194168161 PECOS PAC ID: 5496051898 Enrollment ID: I20171204001857 |
| Provider Name | John B Bocock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548680945 PECOS PAC ID: 4385952225 Enrollment ID: I20201203002423 |
| Provider Name | Joshua J Warren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528227063 PECOS PAC ID: 3274690847 Enrollment ID: I20240510000339 |
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