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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
ASHLEY LOCKLEAR (CFO/CREDENTIALING SPECIALIST)
(910) 865-3500
Entity
Organization
Contact information
Practice address
1518 S HORNER BLVD, SANFORD, NC 27330-5632
Mailing address
219 W BROAD ST, SAINT PAULS, NC 28384-1533
(910) 865-3500
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
—
5921165
—
NC
05
—
6008618
—
NC
Enumeration date
09/21/2011
Last updated
09/02/2020
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