Organization
SOUTHCARE MINUTE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY A CAINES (PRESIDENT)
(910) 520-3099
Entity
Organization
Contact information
Practice address
1506 MARKET ST, WILMINGTON, NC 28401-4871
(910) 254-4065
(910) 763-8258
Mailing address
PO BOX 2137, WILMINGTON, NC 28402-2137
(910) 254-4065
(910) 763-8258
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
07/08/2008
Last updated
09/23/2008
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