| Prodigious Health Services, Llc | |
|
108 S Bragg St Warrenton NC 27589-2048 | |
| (252) 257-6500 | |
| (252) 257-6700 |
| Full Name | Prodigious Health Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 108 S Bragg St, Warrenton, North Carolina |
| Authorized Official Name and Position | Bobby Faison (PRESIDENT) |
| Authorized Official Contact | 2524330300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prodigious Health Services, Llc 108 South Bragg Street Warrenton NC 27589-2048 Ph: (252) 433-0300 | Prodigious Health Services, Llc 108 S Bragg St Warrenton NC 27589-2048 Ph: (252) 257-6500 |
| NPI Number | 1093017931 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093017931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 101Y00000X (North Carolina) | Primary |
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