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3720 Martha Ln N Wilson NC 27896-8636 | |
| (252) 237-3147 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3720 Martha Ln N, Wilson, North Carolina |
| Authorized Official Name and Position | Quentin Demarco Rogers (OWNER) |
| Authorized Official Contact | 2522361929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3720 Martha Ln N Wilson NC 27896-8636 Ph: (252) 237-3147 | 3720 Martha Ln N Wilson NC 27896-8636 Ph: (252) 237-3147 |
| NPI Number | 1992945828 |
|---|---|
| Provider Enumeration Date | 03/05/2009 |
| Last Update Date | 08/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992945828 | NPI | - | NPPES |
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