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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