Organization
GOLDSBORO WELLNESS CENTER,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON R JIMENEZ D.O (OWNER)
(919) 778-1676
Entity
Organization
Contact information
Practice address
1100 PARKWAY DR, SUITE C, GOLDSBORO, NC 27534-3477
(919) 778-7665
(919) 778-7665
Mailing address
2600 US HIGHWAY 70 W, GOLDSBORO, NC 27530-7779
(919) 739-4808
(919) 739-4810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9900553
NC
Other
Enumeration date
07/21/2009
Last updated
02/09/2017
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