| Cn3 | |
|
1670 Fallen Leaf Ln # D Wilmington NC 28403-5594 | |
| (843) 496-4756 | |
| Not Available |
| Full Name | Cn3 |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1670 Fallen Leaf Ln # D, Wilmington, North Carolina |
| Authorized Official Name and Position | Clyde Carson Nance (OWNER) |
| Authorized Official Contact | 8434964756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cn3 1670 Fallen Leaf Ln # D Wilmington NC 28403-5594 Ph: (843) 496-4756 | Cn3 1670 Fallen Leaf Ln # D Wilmington NC 28403-5594 Ph: (843) 496-4756 |
| NPI Number | 1801678057 |
|---|---|
| Provider Enumeration Date | 10/20/2023 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801678057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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