Organization
AHP OF NORTH CAROLINA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WACHOWIAK (PRESIDENT)
(770) 945-5330
Entity
Organization
Contact information
Practice address
1011 WOODRIDGE DR, LUMBERTON, NC 28358-3328
(910) 739-8825
(910) 739-8823
Mailing address
3079 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097-2215
(770) 945-5330
(678) 546-3606
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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