Organization
CAROLINA CHOICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA SIMON (BILLING OFFICER)
(252) 633-3855
Entity
Organization
Contact information
Practice address
3610 WEDGEWOOD DR, TRENT WOODS, NC 28562-7728
(252) 633-3855
(252) 633-1548
Mailing address
PO BOX 12189, NEW BERN, NC 28561-2189
(252) 633-3855
(252) 633-1548
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603294
—
NC
Enumeration date
03/06/2007
Last updated
11/11/2009
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