| Provisional Hill Inc | |
|
808 Morrattock Rd Suite 7 Plymouth NC 27962-9359 | |
| (252) 793-2660 | |
| (252) 793-2452 |
| Full Name | Provisional Hill Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 808 Morrattock Rd, Plymouth, North Carolina |
| Authorized Official Name and Position | Pamela Hill (CEO OWNER) |
| Authorized Official Contact | 2527932660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provisional Hill Inc 808 Morrattock Rd Plymouth NC 27962-9359 Ph: (252) 793-2660 | Provisional Hill Inc 808 Morrattock Rd Suite 7 Plymouth NC 27962-9359 Ph: (252) 793-2660 |
| NPI Number | 1174651723 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174651723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 251S00000X (North Carolina) | Primary |
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