| Shining Star | |
|
911 Atkinson St Laurinburg NC 28352-4718 | |
| (910) 739-1468 | |
| Not Available |
| Full Name | Shining Star |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 911 Atkinson St, Laurinburg, North Carolina |
| Authorized Official Name and Position | Jennifer D Lozano (VP - FINANCIAL SERVICES) |
| Authorized Official Contact | 4049682663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Star 1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | Shining Star 911 Atkinson St Laurinburg NC 28352-4718 Ph: (910) 739-1468 |
| NPI Number | 1689034555 |
|---|---|
| Provider Enumeration Date | 03/04/2016 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689034555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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