Organization
MCG DIVERSIFIED, LLC
Active
Other names
H.O.P.E
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY E MCGUIRE SR. (OWNER)
(252) 883-9329
Entity
Organization
Contact information
Practice address
809 MILL BRANCH RD, ROCKY MOUNT, NC 27803-8512
(252) 446-6243
(252) 446-6244
Mailing address
809 MILL BRANCH RD, ROCKY MOUNT, NC 27803-8512
(252) 446-6243
(252) 446-6244
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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