Organization
CARE2UMEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHAN LEAKE OFFICE MANAGER (OFFICE MANAGER)
(252) 514-6594
Entity
Organization
Contact information
Practice address
1230 US HIGHWAY 70 E STE 1, NEW BERN, NC 28560-6616
(252) 514-6594
(252) 639-2005
Mailing address
1230 HWY 70 EAST SUITE 1, NEW BERN, NC 28560-6616
(252) 514-6594
(252) 639-2005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005002624
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004372
—
NC
Enumeration date
05/06/2016
Last updated
05/06/2016
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