Organization
PACE HEALTH NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA WILKINS LCMHC (AGENCY MANAGER)
(910) 475-8333
Entity
Organization
Contact information
Practice address
103 MILL POND RD, WHITEVILLE, NC 28472-8675
(910) 840-2154
Mailing address
PO BOX 2221, WHITEVILLE, NC 28472-7221
(910) 840-2154
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22177049
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891040U
—
NC
Enumeration date
09/21/2016
Last updated
03/31/2023
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