| Tyson's Corner Health Services, Inc. | |
|
600 N Grace St Unit D Rocky Mount NC 27804-4843 | |
| (252) 407-8469 | |
| Not Available |
| Full Name | Tyson's Corner Health Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 600 N Grace St, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Caspertine Hawkins (CEO) |
| Authorized Official Contact | 2524078469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyson's Corner Health Services, Inc. 2100 N Heritage St Unit B Kinston NC 28501-2222 Ph: (252) 407-8469 | Tyson's Corner Health Services, Inc. 600 N Grace St Unit D Rocky Mount NC 27804-4843 Ph: (252) 407-8469 |
| NPI Number | 1265713606 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 05/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265713606 | NPI | - | NPPES |
| 6008809 | Medicaid | NC | |
| 5921354 | Medicaid | NC |
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