Organization
EAST COVE PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNA WOLICKI-SHANNON M.D. (CHILD/ADULT PSYCHIATRIST)
(252) 523-2781
Entity
Organization
Contact information
Practice address
2901 N HERRITAGE ST STE C, KINSTON, NC 28501-1581
(252) 523-2781
(252) 523-2779
Mailing address
2901 N HERRITAGE ST STE C, KINSTON, NC 28501-1581
(252) 523-2781
(252) 523-2779
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89137CE
—
NC
Enumeration date
12/21/2007
Last updated
12/21/2007
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