| Mainstreet And Kidsstreet Of North Carolina Pllc | |
|
1202 N Brightleaf Blvd Ste C Smithfield NC 27577-4258 | |
| (919) 912-5006 | |
| Not Available |
| Full Name | Mainstreet And Kidsstreet Of North Carolina Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1202 N Brightleaf Blvd Ste C, Smithfield, North Carolina |
| Authorized Official Name and Position | Andrew Smith (VP) |
| Authorized Official Contact | 2055455085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainstreet And Kidsstreet Of North Carolina Pllc 1500 1st Ave N Unit 3 Birmingham AL 35203-1866 Ph: (205) 545-5085 | Mainstreet And Kidsstreet Of North Carolina Pllc 1202 N Brightleaf Blvd Ste C Smithfield NC 27577-4258 Ph: (919) 912-5006 |
| NPI Number | 1578359329 |
|---|---|
| Provider Enumeration Date | 04/17/2025 |
| Last Update Date | 04/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578359329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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