Organization
HALIFAX MEDICAL SERVICES, INC
Active
Parent organization
HALIFAX MEDICAL SERVICES PA
Other names
MEDICAL CENTER/CLINIC OF ENFIELD
Organization subpart
Yes
Provider details
NPI number
Legal business name
HALIFAX MEDICAL SERVICES PA
Authorized official
MR. JOHN HUME FAULKNER PA-C,MPH (PHYSICIAN ASSISTANT)
(252) 445-2332
Entity
Organization
Contact information
Practice address
114 MARKET ST, ENFIELD, NC 27823-0339
(252) 445-2332
(252) 445-2983
Mailing address
114 MARKET ST, PO BOX 339, ENFIELD, NC 27823-0339
(252) 445-2332
(252) 445-2983
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
68222
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343974A&C
—
NC
Enumeration date
03/08/2007
Last updated
07/09/2012
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