| Kernersville Office | |
|
1107 E Mountain St Kernersville NC 27284-7904 | |
| (336) 885-5090 | |
| (336) 885-5092 |
| Full Name | Kernersville Office |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1107 E Mountain St, Kernersville, North Carolina |
| Authorized Official Name and Position | Karen Lyn Orsini (VICE PRESIDENT FINANCIAL SVCS) |
| Authorized Official Contact | 4043642900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kernersville Office 3060 Peachtree Rd Nw Suite 900 Atlanta GA 30305-2234 Ph: (404) 364-2900 | Kernersville Office 1107 E Mountain St Kernersville NC 27284-7904 Ph: (336) 885-5090 |
| NPI Number | 1265639314 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265639314 | NPI | - | NPPES |
| 8300329J | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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