# CAROLINA AGE REJUVENATION CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265611941
- **Authorized official:** DONALD BROOKS REECE II MD (OWNER)
- **Authorized official phone:** (252) 247-7298

## Contact information

- **Practice address:** 208B PENNY LN, MOREHEAD CITY, NC 28557-4305
- **Practice address phone:** (252) 247-7298
- **Mailing address:** 208B PENNY LN, MOREHEAD CITY, NC 28557-4305
- **Mailing address phone:** (252) 247-7298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18559 | NC | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 10/30/2007