Organization
NEW BEGINNING OF NC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OJETTA DIONNE MILEY (AFL PROVIDER / DIRECTOR)
(919) 828-8330
Entity
Organization
Contact information
Practice address
100 WESTLAKE RD STE 100, FAYETTEVILLE, NC 28314-1660
(919) 828-8330
(919) 828-8330
Mailing address
1813 ELKPARK DR, RALEIGH, NC 27610-5897
(919) 828-8330
(919) 828-8330
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
4334523
NC
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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