| Uhs/de Telepsychiatry | |
|
200 Tarpon Trl Jacksonville NC 28546-5287 | |
| (910) 938-1114 | |
| (910) 938-1118 |
| Full Name | Uhs/de Telepsychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 200 Tarpon Trl, Jacksonville, North Carolina |
| Authorized Official Name and Position | Raymond C Owings (CFO) |
| Authorized Official Contact | 2523844168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uhs/de Telepsychiatry Po Box 1412 Elizabeth City NC 27906-1412 Ph: (252) 475-0033 | Uhs/de Telepsychiatry 200 Tarpon Trl Jacksonville NC 28546-5287 Ph: (910) 938-1114 |
| NPI Number | 1639462880 |
|---|---|
| Provider Enumeration Date | 05/20/2011 |
| Last Update Date | 05/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639462880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 200200418 (North Carolina) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 97995 (North Carolina) | Secondary |
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