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Organization
SMEG FAMILY MENTAL HEALTH
Active
Organization
SMEG FAMILY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WILSON JR. (OWNER/CEO)
(252) 364-8972
Entity
Organization
Contact information
Practice address
610A OLD TAR VILLAGE RD, WINTERVILLE, NC 28590-7936
(252) 364-8972
(252) 364-8971
Mailing address
610A OLD TAR VILLAGE RD, WINTERVILLE, NC 28590-7936
(252) 364-8972
(252) 364-8971
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
5003235
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6113048
—
NC
Enumeration date
01/21/2014
Last updated
01/21/2014
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