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Organization
TRIPLE E MEDICAL SOLUTIONS LLC
Active
Organization
TRIPLE E MEDICAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACIE CLARK RHIA (OWNER)
(888) 338-7293
Entity
Organization
Contact information
Practice address
6506 DENTAL LN STE 101, FAYETTEVILLE, NC 28314-0383
(910) 229-3597
(888) 391-2109
Mailing address
6380 CLIFFDALE RD UNIT 25008, FAYETTEVILLE, NC 28314-2968
(888) 338-7293
(888) 391-2109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
11/16/2020
Last updated
05/04/2022
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