Macta, Llc | |
450 S Wesleyan Blvd Rocky Mount NC 27803-1700 | |
(252) 443-0836 | |
(252) 443-0836 |
Full Name | Macta, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 450 S Wesleyan Blvd, Rocky Mount, North Carolina |
Authorized Official Name and Position | Russell W Wooten (OWNER/MEMBER) |
Authorized Official Contact | 2524430836 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Macta, Llc 1012 Sandberg Ln Rocky Mount NC 27803-2253 Ph: (252) 443-0836 | Macta, Llc 450 S Wesleyan Blvd Rocky Mount NC 27803-1700 Ph: (252) 443-0836 |
NPI Number | 1053565648 |
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Provider Enumeration Date | 11/09/2008 |
Last Update Date | 01/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053565648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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