Organization
HOPE IN THE CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELTON PARKER (EXECUTIVE DIRECTOR)
(910) 916-3929
Entity
Organization
Contact information
Practice address
302 NORTH MAIN STREET, KENANSVILLE, NC 28349-9091
(910) 916-3929
Mailing address
PO BOX 1576, ROSEBORO, NC 28382-1576
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
89127KP
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301208
—
NC
Enumeration date
04/22/2010
Last updated
04/22/2010
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