Organization
THE LIFESPAN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANILLYA PARTRIDGE NP-C (CEO)
(336) 694-1924
Entity
Organization
Contact information
Practice address
293 MAIN ST, YANCEYVILLE, NC 27379-8781
(336) 694-1924
Mailing address
PO BOX 3058, ROXBORO, NC 27573-3058
(336) 694-1924
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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