Organization
THE RED PHOENIX & CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PERSON PA-C (MANAGING MEMBER)
(910) 376-0225
Entity
Organization
Contact information
Practice address
176 STRAWBERRY LN, JACKSONVILLE, NC 28540-8652
(910) 376-0225
Mailing address
176 STRAWBERRY LN, JACKSONVILLE, NC 28540-8652
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/29/2024
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