| Cscldl, Pc | |
|
2014 Hope Mills Rd Fayetteville NC 28304-4225 | |
| (910) 425-6136 | |
| (910) 424-0198 |
| Full Name | Cscldl, Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2014 Hope Mills Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Corinna Suzette Mcmillon (PRESIDENT) |
| Authorized Official Contact | 9103221479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cscldl, Pc 4323 Dominique St Hope Mills NC 28348-2854 Ph: (910) 322-1479 | Cscldl, Pc 2014 Hope Mills Rd Fayetteville NC 28304-4225 Ph: (910) 425-6136 |
| NPI Number | 1255572525 |
|---|---|
| Provider Enumeration Date | 03/17/2009 |
| Last Update Date | 03/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255572525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6710 (North Carolina) | Primary |
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