Organization
SUNESIS COMPREHENSIVE CARE, PLLC
Active
Other names
Primary Care of St. Pauls
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LATICIA ANN THARRINGTON NP (OWNER)
(910) 865-5177
Entity
Organization
Contact information
Practice address
122 E BLUE ST, SAINT PAULS, NC 28384-1812
(910) 865-5177
(910) 865-9400
Mailing address
122 E BLUE ST, SAINT PAULS, NC 28384-1812
(910) 865-5177
(910) 865-9400
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
5000713
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184694960
NPI
NC
01
—
2592580
PTAN
NC
05
—
7004391
—
NC
Enumeration date
03/10/2015
Last updated
08/27/2015
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