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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
MR. THAD J DAVIS (DIRECTOR)
(910) 865-3500
Entity
Organization
Contact information
Practice address
121 S 5TH ST STE B, SAINT PAULS, NC 28384-1573
(910) 865-8280
(910) 865-8281
Mailing address
PO BOX 159, SAINT PAULS, NC 28384-0159
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302566
—
NC
05
—
8302566R
—
NC
Enumeration date
10/19/2006
Last updated
04/28/2010
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