| Shinning Star Psr | |
|
113 John St Laurinburg NC 28352-3029 | |
| (910) 291-9934 | |
| (910) 739-6134 |
| Full Name | Shinning Star Psr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 113 John St, Laurinburg, North Carolina |
| Authorized Official Name and Position | Karen Lyn Orsini (VICE PRESIDENT) |
| Authorized Official Contact | 4043642900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shinning Star Psr 3060 Peachtree Rd Nw Suite 900 Atlanta GA 30305-2234 Ph: (404) 364-2900 | Shinning Star Psr 113 John St Laurinburg NC 28352-3029 Ph: (910) 291-9934 |
| NPI Number | 1720379688 |
|---|---|
| Provider Enumeration Date | 04/27/2011 |
| Last Update Date | 04/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720379688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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