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Organization
WAYNE HEALTH MEDICAL CLINIC, LLC
Active
Organization
WAYNE HEALTH MEDICAL CLINIC, LLC
Active
Parent organization
WAYNE HEALTH PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNE HEALTH PHYSICIANS
Authorized official
CLYDE LOUIS THOMAS (EXECUTIVE DIRECTOR)
(919) 587-4081
Entity
Organization
Contact information
Practice address
208 COX BLVD, SUITE 102, GOLDSBORO, NC 27534-9414
(919) 587-4081
(919) 587-0775
Mailing address
PO BOX 1717, GOLDSBORO, NC 27533-1717
(919) 587-4081
(919) 587-0775
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
12/19/2011
Last updated
12/10/2015
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