Organization
WILLOW TREE PAIN AND ADDICTION CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORA PAULETTE KEARLEY ACNP (ACNP/OWNER)
(252) 864-3852
Entity
Organization
Contact information
Practice address
703 ROSANNE DR # D, KINSTON, NC 28504-1551
(252) 643-2630
(252) 643-2628
Mailing address
703 ROSANNE DR # D, KINSTON, NC 28504-1551
(252) 643-2630
(252) 643-2628
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
04/05/2022
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