| Carolina Access Life Line, Llc | |
|
2900 Reynolds Park Rd Winston Salem NC 27107-1653 | |
| (336) 408-5957 | |
| Not Available |
| Full Name | Carolina Access Life Line, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2900 Reynolds Park Rd, Winston Salem, North Carolina |
| Authorized Official Name and Position | Felicia Regina Thompkins (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3364085957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Access Life Line, Llc 2900 Reynolds Park Rd Winston Salem NC 27107-1653 Ph: () - | Carolina Access Life Line, Llc 2900 Reynolds Park Rd Winston Salem NC 27107-1653 Ph: (336) 408-5957 |
| NPI Number | 1376713776 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376713776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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