| |
605 N Spence Ave, Goldsboro, NC 27534 | |
(919) 751-0555 | |
(919) 751-3001 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 605 N Spence Ave, Goldsboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487198107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P16455 (North Carolina) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Caroline Joy Yumul Co |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134197320 PECOS PAC ID: 0941222939 Enrollment ID: I20170309000130 |
Mailing Address | Practice Location Address |
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605 N Spence Ave, Goldsboro, NC 27534 Ph: (919) 751-0555 | 605 N Spence Ave, Goldsboro, NC 27534 Ph: (919) 751-0555 |