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Organization

HEALING WATERS NORTH CAROLINA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY PAPE (MANAGER)
(316) 633-4413
Entity
Organization

Contact information

Practice address
6813 FAYETTEVILLE RD, DURHAM, NC 27713-8721
(919) 572-1710
Mailing address
6120 SHADYBROOK ST, WICHITA, KS 67208-1862
(316) 633-4413
(877) 381-0101

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200300784
NC

Other

Enumeration date
03/12/2015
Last updated
03/12/2015
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