Organization
PRIMARY CARE SOLUTIONS INC OF N.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BULLOCK (PRESIDENT)
(704) 506-9469
Entity
Organization
Contact information
Practice address
158 MCGEHEE DR, BATON ROUGE, LA 70815-5012
(704) 506-9469
Mailing address
5700 EXECUTIVE CENTER DR, SUITE 101, CHARLOTTE, NC 28212-8858
(704) 506-9469
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003144437
—
NC
05
—
1053535369
—
NC
05
—
1265574594
—
NC
05
—
1518009992
—
NC
05
—
1568505279
—
NC
05
—
1912223678
—
NC
Enumeration date
06/30/2010
Last updated
06/30/2010
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