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Organization
ESSIE F DAUGHTRY
Active
Organization
ESSIE F DAUGHTRY
Active
Other names
Freeman Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY FOREMAN ADMINISTRATOR (ADMINISTRATOR FOR CHARGE)
(252) 355-0355
Entity
Organization
Contact information
Practice address
506 SEDGEFIELD DR, GREENVILLE, NC 27834-6477
(125) 235-5035
(125) 235-5035
Mailing address
506 SEDGEFIELD DR, PO.BOX7271, GREENVILLE, NC 27834-6477
(125) 235-5035
(125) 235-5035
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
FCL-074-009
NC
261QA0005X
Ambulatory Family Planning Facility
Primary
FCL-074-013
NC
261QA0005X
Ambulatory Family Planning Facility
FCL-074-015
NC
261QA0005X
Ambulatory Family Planning Facility
FCL-074-016
NC
261QA0005X
Ambulatory Family Planning Facility
FCL074-010
NC
Other
Enumeration date
03/28/2007
Last updated
07/29/2008
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