Organization
FIRST CHOICE URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM M. RUSSELL (OFFICE MANAGER)
(252) 338-3111
Entity
Organization
Contact information
Practice address
615 S HUGHES BLVD, ELIZABETH CITY, NC 27909-4785
(252) 338-3111
(252) 333-3774
Mailing address
615 S HUGHES BLVD, ELIZABETH CITY, NC 27909-4785
(252) 338-3111
(252) 333-3774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39952
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8942947
—
NC
05
—
8960052
—
NC
Enumeration date
04/17/2007
Last updated
08/22/2020
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