Individual
HAYDEN CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 BOONE TRAIL, NORTH WILKESBORO, NC 28659
(336) 903-1700
(336) 903-1701
Mailing address
29 BOONE TRL, NORTH WILKESBORO, NC 28659-3512
(336) 903-1700
(336) 903-1701
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
2997905
NC
343900000X
Non-emergency Medical Transport (VAN)
Primary
2997905
NC
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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