Organization
EVERGREEN HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENTON BLAKE BYRD (CEO)
(910) 640-5512
Entity
Organization
Contact information
Practice address
4276 LEGEND AVE, FAYETTEVILLE, NC 28303-1965
(910) 867-0035
(910) 867-0545
Mailing address
PO BOX 425, 1409 PINCKNEY STREET, WHITEVILLE, NC 28472-0425
(910) 640-5551
(910) 641-0606
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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