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Organization
PRIMARY HEALTH CHOICE, INC.
Active
Organization
PRIMARY HEALTH CHOICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAD DAVIS (CEO)
(910) 865-3500
Entity
Organization
Contact information
Practice address
4822 FAYETTEVILLE RD, LUMBERTON, NC 28358-2112
(910) 738-3939
(910) 738-3938
Mailing address
PO BOX 159, SAINT PAULS, NC 28384-0159
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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