| Orcaxp | |
|
898 Bullocksville Park Rd Manson NC 27553-9760 | |
| (704) 453-7680 | |
| Not Available |
| Full Name | Orcaxp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 898 Bullocksville Park Rd, Manson, North Carolina |
| Authorized Official Name and Position | Rico Darius Williams (OWNER) |
| Authorized Official Contact | 7044537680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orcaxp 898 Bullocksville Park Rd Manson NC 27553-9760 Ph: (704) 453-7680 | Orcaxp 898 Bullocksville Park Rd Manson NC 27553-9760 Ph: (704) 453-7680 |
| NPI Number | 1336995182 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336995182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |