| Onslow Office | |
|
824 Gum Branch Rd Ste C Jacksonville NC 28540-6269 | |
| (910) 347-9990 | |
| (910) 347-1117 |
| Full Name | Onslow Office |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 824 Gum Branch Rd Ste C, Jacksonville, 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 |
|---|---|
| Onslow Office 3060 Peachtree Rd Nw Suite 900 Atlanta GA 30305-2234 Ph: (404) 364-2900 | Onslow Office 824 Gum Branch Rd Ste C Jacksonville NC 28540-6269 Ph: (910) 347-9990 |
| NPI Number | 1558568600 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558568600 | NPI | - | NPPES |
| 8300681J | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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