| Carolina Age Rejuvenation Clinic Llc | |
|
208b Penny Ln Morehead City NC 28557-4305 | |
| (252) 247-7298 | |
| Not Available |
| Full Name | Carolina Age Rejuvenation Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 208b Penny Ln, Morehead City, North Carolina |
| Authorized Official Name and Position | Donald Brooks Reece (OWNER) |
| Authorized Official Contact | 2522477298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Age Rejuvenation Clinic Llc 208b Penny Ln Morehead City NC 28557-4305 Ph: (252) 247-7298 | Carolina Age Rejuvenation Clinic Llc 208b Penny Ln Morehead City NC 28557-4305 Ph: (252) 247-7298 |
| NPI Number | 1265611941 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 10/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265611941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18559 (North Carolina) | Primary |
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