Organization
CREATIVE INC
Active
Organization
CREATIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SMITH (EXECUTIVE DIRECTOR)
(910) 914-0042
Entity
Organization
Contact information
Practice address
116 E MAIN ST, WHITEVILLE, NC 28472-4132
(910) 914-0042
Mailing address
125 N MILLER ST, CHADBOURN, NC 28431-1516
(910) 914-0042
(910) 914-0021
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700497
—
NC
Enumeration date
09/09/2008
Last updated
09/09/2008
Update your record
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