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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
Update your record

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