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356 Charlotte Rd Rutherfordton NC 28139-2916 | |
(828) 287-7945 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 356 Charlotte Rd, Rutherfordton, North Carolina |
Authorized Official Name and Position | Pamela L Freeley (NC BILLING SYSTEM SUPERVISOR) |
Authorized Official Contact | 7043440491 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 759194 Baltimore MD 21275-9194 Ph: (704) 344-0491 | 356 Charlotte Rd Rutherfordton NC 28139-2916 Ph: (828) 287-7945 |
NPI Number | 1750712998 |
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Provider Enumeration Date | 12/12/2013 |
Last Update Date | 12/04/2018 |
Identifier | Type | State | Issuer |
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1750712998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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