| Innerfocus, Pllc | |
|
4421 Junction Park Dr Suite 200 Wilmington NC 28412-2263 | |
| (910) 551-5172 | |
| (910) 239-8376 |
| Full Name | Innerfocus, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4421 Junction Park Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Maria Tar (PRESIDENT) |
| Authorized Official Contact | 9105515172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerfocus, Pllc 4421 Junction Park Dr Suite 200 Wilmington NC 28412-2263 Ph: (910) 551-5172 | Innerfocus, Pllc 4421 Junction Park Dr Suite 200 Wilmington NC 28412-2263 Ph: (910) 551-5172 |
| NPI Number | 1073998258 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 07/29/2015 |
| Medicare PECOS PAC ID | 0749594026 |
|---|---|
| Medicare Enrollment ID | O20150730012265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073998258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C008966 (North Carolina) | Primary |
| Provider Name | Maria Tar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083975569 PECOS PAC ID: 9830318229 Enrollment ID: I20140917001209 |
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