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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