Organization
CAROLINA AGE REJUVENATION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD BROOKS REECE II MD (OWNER)
(252) 247-7298
Entity
Organization
Contact information
Practice address
208B PENNY LN, MOREHEAD CITY, NC 28557-4305
(252) 247-7298
Mailing address
208B PENNY LN, MOREHEAD CITY, NC 28557-4305
(252) 247-7298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18559
NC
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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