| Carolina Women's Health Pavilion, Pa | |
|
247 Memorial Dr Jacksonville NC 28546-6333 | |
| (910) 938-0900 | |
| (910) 355-0404 |
| Full Name | Carolina Women's Health Pavilion, Pa |
|---|---|
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 247 Memorial Dr, Jacksonville, North Carolina |
| Authorized Official Name and Position | Doris Deloris Foskey (OFFICE MANAGER) |
| Authorized Official Contact | 9109380900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Women's Health Pavilion, Pa 247 Memorial Dr P.o. Box 12033 Jacksonville NC 28546-6333 Ph: (910) 938-0900 | Carolina Women's Health Pavilion, Pa 247 Memorial Dr Jacksonville NC 28546-6333 Ph: (910) 938-0900 |
| NPI Number | 1659571610 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659571610 | NPI | - | NPPES |
| 014NM | Other | NC | BCBSNC |
| 89014NM | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20584 (North Carolina) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 20584 (North Carolina) | Primary |
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