Organization
MONTGOMERY COUNTY FREE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BENITA WATSON (DIRECTOR)
(910) 428-9020
Entity
Organization
Contact information
Practice address
104 PROFESSIONAL DRIVE, BISCOE, NC 27209
(910) 428-9020
Mailing address
P.O. BOX 296, 104 PROFESSIONAL DRIVE, BISCOE, NC 27209
(910) 428-9020
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
5005256
NC
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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