| Tideland Psychiatric Services Plymouth | |
|
804 Washington St Plymouth NC 27962-2224 | |
| (252) 793-1154 | |
| (252) 793-3860 |
| Full Name | Tideland Psychiatric Services Plymouth |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 804 Washington St, Plymouth, North Carolina |
| Authorized Official Name and Position | Susan S Gerard (MEDICAL PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2529754203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tideland Psychiatric Services Plymouth 804 Washington St Plymouth NC 27962-2224 Ph: (252) 793-1154 | Tideland Psychiatric Services Plymouth 804 Washington St Plymouth NC 27962-2224 Ph: (252) 793-1154 |
| NPI Number | 1083842264 |
|---|---|
| Provider Enumeration Date | 06/26/2009 |
| Last Update Date | 06/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083842264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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