Organization
PHYLLIS COULTER EVERETT
Active
Other names
Sapient Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANA MCWILLIAMS (PROVIDER ENROLLMENT)
(800) 828-2012
Entity
Organization
Contact information
Practice address
3803 PEACHTREE AVE, WILMINGTON, NC 28403-6727
(910) 799-6262
(910) 799-6261
Mailing address
21430 TIMBERLAKE RD, LYNCHBURG, VA 24502-7248
(434) 944-0194
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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