Orcaxp | |
898 Bullocksville Park Rd Manson NC 27553-9760 | |
(704) 453-7680 | |
Not Available |
Full Name | Orcaxp |
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Speciality | Community/behavioral Health |
Location | 898 Bullocksville Park Rd, Manson, North Carolina |
Authorized Official Name and Position | Rico Darius Williams (OWNER) |
Authorized Official Contact | 7044537680 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Orcaxp 898 Bullocksville Park Rd Manson NC 27553-9760 Ph: (704) 453-7680 | Orcaxp 898 Bullocksville Park Rd Manson NC 27553-9760 Ph: (704) 453-7680 |
NPI Number | 1336995182 |
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Provider Enumeration Date | 04/24/2024 |
Last Update Date | 04/24/2024 |
Certification Date | 04/24/2024 |
Identifier | Type | State | Issuer |
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1336995182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |