| Evergreen Health Services, Llc | |
|
4276 Legend Ave Fayetteville NC 28303-1965 | |
| (910) 867-0035 | |
| (910) 867-0545 |
| Full Name | Evergreen Health Services, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4276 Legend Ave, Fayetteville, North Carolina |
| Authorized Official Name and Position | Brenton Blake Byrd (CEO) |
| Authorized Official Contact | 9106405512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Health Services, Llc Po Box 425 1409 Pinckney Street Whiteville NC 28472-0425 Ph: (910) 640-5551 | Evergreen Health Services, Llc 4276 Legend Ave Fayetteville NC 28303-1965 Ph: (910) 867-0035 |
| NPI Number | 1578704466 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 03/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578704466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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