Organization
NORTH RIVER PRIMECARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JANE RANDELL (BILLING MANAGER)
(252) 728-3252
Entity
Organization
Contact information
Practice address
301 JONES AVE, BEAUFORT, NC 28516-1514
(252) 728-3252
(252) 728-3251
Mailing address
301 JONES AVE, BEAUFORT, NC 28516-1514
(252) 728-3252
(252) 728-3251
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
900119
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907341
—
NC
05
—
7004406
—
NC
05
—
7005549
—
NC
Enumeration date
11/07/2012
Last updated
12/19/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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