Organization
BEAUFORT COUNTY HOSPITAL ASSOCIATION INC
Active
Other names
TIDELAND PSYCHIATRIC SERVICES OCRACOKE
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN S GERARD (MEDICAL PRACTICE ADMINISTRATOR)
(252) 975-4203
Entity
Organization
Contact information
Practice address
305 BACK RD, OCRACOKE, NC 27960-0000
(252) 928-1511
(252) 926-9502
Mailing address
305 BACK RD, OCRACOKE, NC 27960-0000
(252) 928-1511
(252) 926-9502
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
07/01/2009
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