Organization
LIL BO PEEP 3D-4D ULTRASOUND AND BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY FRAZIER STANLEY RDMS (REGISTERED DIAGNOSTIC SONOGRAPHER)
(910) 690-6894
Entity
Organization
Contact information
Practice address
80 AVIEMORE CT, SUITE D, PINEHURST, NC 28374-9732
(910) 690-6894
Mailing address
80 AVIEMORE CT, SUITE D, PINEHURST, NC 28374-9732
(910) 690-6894
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
107830
NC
Other
Enumeration date
07/20/2015
Last updated
01/14/2016
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