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Organization
SUCOREE ENTERPRISE, PLLC
Active
Organization
SUCOREE ENTERPRISE, PLLC
Active
Other names
Sucoree
Organization subpart
No
Provider details
NPI number
Authorized official
SUZETTE GENETHA COTTER (OWNER)
(910) 265-1894
Entity
Organization
Contact information
Practice address
609 RICHLANDS HWY STE 8, JACKSONVILLE, NC 28540-3606
(910) 265-1894
Mailing address
609 RICHLANDS HWY STE 8, JACKSONVILLE, NC 28540-3606
(910) 265-1894
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
1676
NC
302F00000X
Exclusive Provider Organization
—
—
Other
Enumeration date
06/14/2009
Last updated
07/25/2012
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