Organization
GRIDIRON 24-7
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRIS MCPHAIL (OWNER)
(910) 990-5558
Entity
Organization
Contact information
Practice address
637 NORTHWEST BLVD, CLINTON, NC 28328-1813
(910) 990-5558
Mailing address
PO BOX 1178, CLINTON, NC 28329-1178
(910) 990-5558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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