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
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