Organization
DEANNA JO WILLIAMSON
Active
Other names
Regional Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF RAGAN (VICE PRESIDENT)
(336) 345-0678
Entity
Organization
Contact information
Practice address
727 PROFESSIONAL DR, NEW BERN, NC 28560-4547
(252) 635-9822
(252) 635-1822
Mailing address
PO BOX 1712, KERNERSVILLE, NC 27285-1712
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
001136776
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010269059
—
VA
01
—
016XV
BCBS GROUP PROVIDER #
NC
05
—
5900986
—
NC
05
—
7704202
—
NC
Enumeration date
02/07/2006
Last updated
10/10/2008
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