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Organization

ELLIOTT'S VETERAN SUPPORT GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHIRLEYAN MAXINE GILES (NURSE)
(252) 824-8677
Entity
Organization

Contact information

Practice address
201 STRICKLAND DR, PRINCEVILLE, NC 27886-9549
(252) 824-8677
(252) 823-7572
Mailing address
201 STRICKLAND DR, PRINCEVILLE, NC 27886-9549
(252) 824-8677
(252) 823-7572

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
63310
NC

Other

Enumeration date
03/18/2016
Last updated
08/18/2016
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