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4501 Highway 73 Iron Station NC 28080 | |
(704) 473-8382 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 4501 Highway 73, Iron Station, North Carolina |
Authorized Official Name and Position | Judy Goebel Wooten (OWNER) |
Authorized Official Contact | 7044738382 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 846 Denver NC 28037-0846 Ph: (704) 473-8382 | 4501 Highway 73 Iron Station NC 28080 Ph: (704) 473-8382 |
NPI Number | 1851648851 |
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Provider Enumeration Date | 08/08/2012 |
Last Update Date | 08/08/2012 |
Identifier | Type | State | Issuer |
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1851648851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |