Organization
NP PRIMARY CARE HOUSE CALLS
Active
Other names
PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAVIS OSEI YEBOAH FNP (OWNER)
(336) 549-6221
Entity
Organization
Contact information
Practice address
5405 CARRIAGE WOODS DR, BROWNS SUMMIT, NC 27214-9249
(336) 549-6221
Mailing address
5405 CARRIAGE WOODS DR, BROWNS SUMMIT, NC 27214-9249
(336) 549-6221
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
191252
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003059478
—
NC
05
—
7004358
—
NC
Enumeration date
09/26/2011
Last updated
09/26/2011
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