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355 S Madison Blvd Ste C Roxboro NC 27573-5485 | |
(336) 599-8366 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 355 S Madison Blvd Ste C, Roxboro, North Carolina |
Authorized Official Name and Position | Brelyn Waddell (BILLING SPECIALIST SUPERVISOR) |
Authorized Official Contact | 9193238090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6015 Fayetteville Rd Suite 211 Durham NC 27713-6254 Ph: () - | 355 S Madison Blvd Ste C Roxboro NC 27573-5485 Ph: (336) 599-8366 |
NPI Number | 1386785228 |
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Provider Enumeration Date | 02/12/2007 |
Last Update Date | 08/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386785228 | NPI | - | NPPES |
5903807 | Medicaid | NC | |
6005837 | Medicaid | NC | |
8301081 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Rh A Health Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Weeks Dr, Roxboro, NC 27573 Phone: 800-848-0180 | |
Triumph, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 S Madison Blvd, Suite C2, Roxboro, NC 27573 Phone: 336-597-2065 Fax: 336-597-2116 |