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Organization

TOWN OF PINE KNOLL SHORES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE ANDERSON (ASST. TOWN MANAGER)
(252) 247-4353
Entity
Organization

Contact information

Practice address
314 SALTER PATH RD., PINE KNOLL SHORES, NC 28512
(252) 247-2268
(252) 247-2897
Mailing address
PO BOX 193, EASLEY, SC 29641-0193
(866) 981-5886
(866) 981-5886

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1243
NC
3416L0300X
Land Ambulance
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3406728
NC
Enumeration date
06/04/2006
Last updated
05/16/2016
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