Organization
NEW DIMENSION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANCE OLATIDOYE (MEDICAL DIRECTOR/ OWNER)
(910) 289-2610
Entity
Organization
Contact information
Practice address
416 WEST RIDGE STREET, ROSE HILL, NC 28458-0880
(910) 289-2610
Mailing address
PO BOX 880, ROSE HILL, NC 28458-0880
(910) 289-2610
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9901275
NC
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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