Organization
PINEHURST MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM EDWARDS (CEO)
(910) 295-9218
Entity
Organization
Contact information
Practice address
90 MEMORIAL DR, PINEHURST, NC 28374-8707
(910) 235-2000
Mailing address
205 PAGE RD, PINEHURST, NC 28374-8749
(910) 295-5511
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902418
—
NC
Enumeration date
07/14/2008
Last updated
07/14/2008
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