Organization
NEOGENESIS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MOORE (MANAGER/BUSINESS DIRECTOR)
(252) 695-8049
Entity
Organization
Contact information
Practice address
3959 STERLING POINTE DR, WINTERVILLE, NC 28590-5800
(252) 695-8049
Mailing address
3959 STERLING POINTE DR, WINTERVILLE, NC 28590-5800
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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