Organization
GUILFORD COUNTY COMMUNITY CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY AUSTIN WILSON (CEO/PRESIDENT)
(336) 882-6549
Entity
Organization
Contact information
Practice address
808 W ENGLISH RD, HIGH POINT, NC 27262-6818
(336) 882-6549
Mailing address
808 W ENGLISH RD, HIGH POINT, NC 27262-6818
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302622
—
NC
Enumeration date
11/10/2010
Last updated
11/10/2010
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