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Organization
CAROLINA AGE REJUVENATION CLINIC LLC
Active
Organization
CAROLINA AGE REJUVENATION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD BROOKS REECE II MD (OWNER)
(252) 247-7298
Entity
Organization
Contact information
Practice address
208B PENNY LN, MOREHEAD CITY, NC 28557-4305
(252) 247-7298
Mailing address
208B PENNY LN, MOREHEAD CITY, NC 28557-4305
(252) 247-7298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18559
NC
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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