Organization
LIFEBRITE HOSPITAL GROUP OF STOKES, LLC
Active
Other names
LifeBrite Pediatric Clinic of Danbury
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN FLETCHER (CEO)
(336) 593-5311
Entity
Organization
Contact information
Practice address
1030 HOSPICE DR, DANBURY, NC 27016-7379
(336) 593-5354
(336) 593-5331
Mailing address
1030 HOSPICE DR, DANBURY, NC 27016-7379
(336) 593-5354
(336) 593-5331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G557
MEDICARE PART B PTAN
NC
01
—
H0165
HOSPITAL LICENSURE
NC
Enumeration date
11/28/2016
Last updated
03/22/2017
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