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Organization
SUPPORT CARE LLC
Active
Organization
SUPPORT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON E TABE M.D. (PRESIDENT)
(919) 735-3311
Entity
Organization
Contact information
Practice address
1402 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1858
(919) 735-3311
(919) 735-2999
Mailing address
1402 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-2235
(919) 735-3311
(919) 735-2999
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
200101288
NC
Other
Enumeration date
10/11/2007
Last updated
01/30/2009
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