Organization
TAR RIVER MISSION CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE WILSON (EXECUTIVE DIRECTOR)
(252) 962-3455
Entity
Organization
Contact information
Practice address
1041 NOELL LN, MEDICAL PLAZA B, ROCKY MOUNT, NC 27804-2058
(252) 962-3450
(252) 962-3451
Mailing address
1041 NOELL LN, MEDICAL PLAZA B, ROCKY MOUNT, NC 27804-2058
(252) 962-3450
(252) 962-3451
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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