Organization
HALIFAX MEDICAL SERVICES PA
Active
Parent organization
HALIFAX MEDICAL SERVICES PA
Other names
MEDICAL CLINIC OF PINETOPS
Organization subpart
Yes
Provider details
NPI number
Legal business name
HALIFAX MEDICAL SERVICES PA
Authorized official
MR. JOHN HUME FAULKNER PA-C,MPH (PRESIDENT)
(252) 827-1550
Entity
Organization
Contact information
Practice address
105 SOUTHWEST FIRST STREET, PINETOPS, NC 27864
(252) 827-1550
Mailing address
105-C SOUTHWEST FIRST ST, PO BOX 685, PINETOPS, NC 27864
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
68222
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348950A&C
—
NC
Enumeration date
03/08/2007
Last updated
07/08/2008
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