Organization
JOHNSTON MEMORIAL QUIK MED II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE MCDERMOTT (VP MANAGEMENT SERVICES)
(919) 938-7115
Entity
Organization
Contact information
Practice address
133 GLEN RD, GARNER, NC 27529-7947
(919) 662-0058
(919) 661-1309
Mailing address
133 GLEN RD, GARNER, NC 27529-7947
(919) 662-0058
(919) 661-1309
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890284F
—
NC
Enumeration date
04/06/2007
Last updated
08/22/2020
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