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360 Rocky Trail Rd Lexington NC 27292-8202 | |
(910) 470-1816 | |
(336) 537-4203 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 360 Rocky Trail Rd, Lexington, North Carolina |
Authorized Official Name and Position | Emma B. Wallace (VICE PRESIDENT) |
Authorized Official Contact | 9104701816 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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360 Rocky Trail Rd Lexington NC 27292-8202 Ph: (910) 470-1816 | 360 Rocky Trail Rd Lexington NC 27292-8202 Ph: (910) 470-1816 |
NPI Number | 1235582206 |
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Provider Enumeration Date | 07/14/2016 |
Last Update Date | 07/14/2016 |
Identifier | Type | State | Issuer |
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1235582206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 656 (North Carolina) | Primary |
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