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Organization
HIGHSMITH SUPPORT AGENCY, INC.
Active
Organization
HIGHSMITH SUPPORT AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE ANN CARR (OWNER/OFFICE MGR.)
(910) 214-5379
Entity
Organization
Contact information
Practice address
112 W COURTHOUSE AVE, BURGAW, NC 28425
(910) 259-4065
(910) 259-4063
Mailing address
PO BOX 1422, BURGAW, NC 28425-1422
(910) 259-4065
(910) 259-4063
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
8301972
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301972
—
NC
Enumeration date
04/30/2009
Last updated
04/30/2009
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