Organization
CAROLINA TAR HEEL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA HARDEN (SECRETARY)
(919) 693-6276
Entity
Organization
Contact information
Practice address
1018 LEWIS ST, OXFORD, NC 27565-6114
(919) 693-6276
(919) 693-4724
Mailing address
1018 LEWIS ST, OXFORD, NC 27565-6114
(919) 693-6276
(919) 693-4724
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1607
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073CF
PROVIDER NUMBER
NC
Enumeration date
06/19/2006
Last updated
08/22/2020
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