Individual
PHAIRLEANIA BRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10021 MADISON SQUARE PL APT 208, CHARLOTTE, NC 28216-4299
(910) 284-3386
Mailing address
10021 MADISON SQUARE PL APT 208, CHARLOTTE, NC 28216-4299
(910) 284-3386
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
883131274
BCBS
NC
05
—
883131274
—
NC
Enumeration date
05/29/2023
Last updated
05/29/2023
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