Organization
EXCELLENT SPIRIT ENTERPRISE, INC.
Active
Other names
Medical Clinic of Sharpsburg
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R. PICKETT D.O. (PROVIDER)
(252) 446-4455
Entity
Organization
Contact information
Practice address
9201 COUNTY LINE ROAD, SHARPSBURG, NC 27878-0098
(252) 446-4455
Mailing address
9201 COUNTY LINE ROAD, P.O. BOX 98, SHARPSBURG, NC 27878-0098
(252) 446-4455
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
200000114
NC
Other
Enumeration date
12/29/2006
Last updated
01/26/2011
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