| Comprehensive Care Services, Pllc | |
|
7161 Rex Rd Holly Springs NC 27540-6457 | |
| (763) 222-6096 | |
| Not Available |
| Full Name | Comprehensive Care Services, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 7161 Rex Rd, Holly Springs, North Carolina |
| Authorized Official Name and Position | Julius Chamberlain Shayo (DIRECTOR OF OPERATION) |
| Authorized Official Contact | 7632226096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Care Services, Pllc 7161 Rex Rd Holly Springs NC 27540-6457 Ph: (763) 222-6096 | Comprehensive Care Services, Pllc 7161 Rex Rd Holly Springs NC 27540-6457 Ph: (763) 222-6096 |
| NPI Number | 1639933120 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Medicare PECOS PAC ID | 5092151480 |
|---|---|
| Medicare Enrollment ID | O20240307002176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639933120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Julius Chamberlain Shayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750927018 PECOS PAC ID: 9032548763 Enrollment ID: I20200401001589 |
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