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Organization

CLARK, HAYS AND ASSOCIATES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEBE G JACKSON (OFFICE MANAGER)
(910) 863-2377
Entity
Organization

Contact information

Practice address
104 FOURTH ST, BLADENBORO, NC 28320-9407
(910) 863-2377
(910) 863-2555
Mailing address
4558 CAPITAL BLVD, SUITE B, RALEIGH, NC 27604-4537
(919) 861-7814
(919) 861-7819

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7917
NC

Other

Enumeration date
01/18/2012
Last updated
01/18/2012
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