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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 DAVIS (OWNER/DIRECTOR)
(910) 865-3500
Entity
Organization
Contact information
Practice address
4822 FAYETTEVILLE RD, LUMBERTON, NC 28358-2112
(910) 738-3939
Mailing address
PO BOX 159, SAINT PAULS, NC 28384-0159
(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
—
8302178
—
NC
05
—
8302178B
—
NC
05
—
8302178G
—
NC
05
—
8302178H
—
NC
Enumeration date
12/06/2007
Last updated
02/24/2009
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