| Mbs Restorative Centre PLLC | |
|
1140 Kildaire Farm Rd Ste 206 Cary NC 27511-4597 | |
| (919) 633-9403 | |
| (919) 650-1218 |
| Full Name | Mbs Restorative Centre PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1140 Kildaire Farm Rd Ste 206, Cary, North Carolina |
| Authorized Official Name and Position | Delva Douglas (OWNER) |
| Authorized Official Contact | 9196339403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mbs Restorative Centre PLLC 1140 Kildaire Farm Rd Ste 206 Cary NC 27511-4597 Ph: (919) 633-1218 | Mbs Restorative Centre PLLC 1140 Kildaire Farm Rd Ste 206 Cary NC 27511-4597 Ph: (919) 633-9403 |
| NPI Number | 1679075824 |
|---|---|
| Provider Enumeration Date | 03/04/2018 |
| Last Update Date | 09/12/2018 |
| Medicare PECOS PAC ID | 4789925546 |
|---|---|
| Medicare Enrollment ID | O20190404002804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679075824 | NPI | - | NPPES |
| Provider Name | Delva C Douglas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902275324 PECOS PAC ID: 9133460991 Enrollment ID: I20190404002839 |
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