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Organization

CORINE'S CARE MANAGEMENT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WATOANAR FLANAGAN (PRESIDET)
(252) 747-5705
Entity
Organization

Contact information

Practice address
369 B C HWY 13 SOUTH, SNOW HILL, NC 28580-9515
(252) 747-5705
Mailing address
55 PATRICK DR, SNOW HILL, NC 28580-9515

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5950446
NC
Enumeration date
03/02/2011
Last updated
03/02/2011
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