Organization
NC DEPT OF PUBLIC SAFETY
Active
Organization
NC DEPT OF PUBLIC SAFETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABHAY AGARWAL MD (DEPUTY MEDICAL DIRECTOR)
(984) 255-6061
Entity
Organization
Contact information
Practice address
2821 US 903 N, MAURY, NC 28554
(252) 747-8101
Mailing address
PO BOX 215, MAURY, NC 28554-0215
(252) 747-8101
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
0010-05558
NC
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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