Individual
TINA PAXTON-PEEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 LENA LN SW, SUPPLY, NC 28462-5532
(910) 368-5140
Mailing address
2355 LENA LN SW, SUPPLY, NC 28462-5532
(910) 368-5140
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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