| Southen Tranquility Medispa, Inc. | |
|
130 Cardinal Dr Roanoke Rapids NC 27870-4946 | |
| (252) 365-4440 | |
| (252) 308-0862 |
| Full Name | Southen Tranquility Medispa, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 130 Cardinal Dr, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Carlton Reid Beaman (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 2523080686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southen Tranquility Medispa, Inc. 130 Cardinal Dr Roanoke Rapids NC 27870 Ph: (252) 365-4440 | Southen Tranquility Medispa, Inc. 130 Cardinal Dr Roanoke Rapids NC 27870-4946 Ph: (252) 365-4440 |
| NPI Number | 1417344433 |
|---|---|
| Provider Enumeration Date | 04/16/2015 |
| Last Update Date | 04/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417344433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 101911 (North Carolina) | Primary |
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Halifax Northampton Internal Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 244 Smith Church Rd Ste D, Roanoke Rapids, NC 27870 Phone: 252-537-0077 Fax: 252-537-9689 | |
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