| Tar River Mission Clinic, Inc. | |
|
1041 Noell Ln Medical Plaza B Rocky Mount NC 27804-2058 | |
| (252) 962-3450 | |
| (252) 962-3451 |
| Full Name | Tar River Mission Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1041 Noell Ln, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Gene Wilson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2529623455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tar River Mission Clinic, Inc. 1041 Noell Ln Medical Plaza B Rocky Mount NC 27804-2058 Ph: (252) 962-3450 | Tar River Mission Clinic, Inc. 1041 Noell Ln Medical Plaza B Rocky Mount NC 27804-2058 Ph: (252) 962-3450 |
| NPI Number | 1649519612 |
|---|---|
| Provider Enumeration Date | 02/11/2013 |
| Last Update Date | 02/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649519612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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