Organization
CLINTON URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY JENSSEN MD (MEDICAL DIRECTOR)
(910) 592-9113
Entity
Organization
Contact information
Practice address
1004 BEAMAN ST, CLINTON, NC 28328-2329
(910) 592-9113
(910) 590-0050
Mailing address
1004 BEAMAN ST, CLINTON, NC 28328-2329
(910) 592-9113
(910) 590-0050
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790106F
—
NC
Enumeration date
08/31/2006
Last updated
02/29/2008
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