# NORTH RIVER PRIMECARE PC

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

## Provider details

- **NPI number:** 1356695613
- **Authorized official:** SARAH JANE RANDELL (BILLING MANAGER)
- **Authorized official phone:** (252) 728-3252

## Contact information

- **Practice address:** 301 JONES AVE, BEAUFORT, NC 28516-1514
- **Practice address phone:** (252) 728-3252
- **Practice address fax:** (252) 728-3251
- **Mailing address:** 301 JONES AVE, BEAUFORT, NC 28516-1514
- **Mailing address phone:** (252) 728-3252
- **Mailing address fax:** (252) 728-3251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 900119 | NC | Yes |

## Other

- **Enumeration date:** 11/07/2012
- **Last updated:** 12/19/2012