| Carolina Pines Wellness Center | |
|
3215 Henderson Dr Jacksonville NC 28546-5251 | |
| (910) 347-5444 | |
| Not Available |
| Full Name | Carolina Pines Wellness Center |
|---|---|
| Speciality | Family Medicine |
| Location | 3215 Henderson Dr, Jacksonville, North Carolina |
| Authorized Official Name and Position | Michael Patrick Shusko (PRESIDENT) |
| Authorized Official Contact | 9103475444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Pines Wellness Center 3215 Henderson Dr Jacksonville NC 28546-5251 Ph: (910) 347-5444 | Carolina Pines Wellness Center 3215 Henderson Dr Jacksonville NC 28546-5251 Ph: (910) 347-5444 |
| NPI Number | 1164677332 |
|---|---|
| Provider Enumeration Date | 12/01/2008 |
| Last Update Date | 02/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164677332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200301290 (North Carolina) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | 200301290 (North Carolina) | Secondary |
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