Organization
PRECISION HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT FETTER (CORPORATE DIRECTOR)
(252) 327-1815
Entity
Organization
Contact information
Practice address
311 JUDGES RD, BLDG 4, WILMINGTON, NC 28405-3651
(910) 791-6767
Mailing address
311 JUDGES RD, BLDG 4, WILMINGTON, NC 28405-3651
(910) 791-6767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024MW
BCBS
NC
05
—
3410033
—
NC
Enumeration date
03/04/2014
Last updated
07/29/2014
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