Organization
JACKSONVILLE FAMILY MEDICAL CENTER, PLLC
Active
Organization
JACKSONVILLE FAMILY MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERLETA R THOMAS (MANAGER)
(910) 938-3200
Entity
Organization
Contact information
Practice address
2587 HENDERSON DR, JACKSONVILLE, NC 28546-5253
(910) 938-3200
(910) 938-3043
Mailing address
2587 HENDERSON DR, JACKSONVILLE, NC 28546-5253
(910) 938-3200
(910) 938-3043
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
36058
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011JH
—
NC
01
—
D75607
UPIN
NC
Enumeration date
08/30/2007
Last updated
08/30/2007
Update your record
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