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Organization

DESTINY TOTAL HEALTHCARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONIA WHITLEY GRAY NURSE PRACTITIONER (OWNER)
(910) 259-3489
Entity
Organization

Contact information

Practice address
407 FREMONT STREET, BURGAW, NC 28425
(910) 900-5411
Mailing address
407 E FREMONT ST, BURGAW, NC 28425-5129
(910) 259-3489
(910) 259-3492

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
10/08/2020
Last updated
11/30/2020
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