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Organization

FOUR COUNTY PRIMARY CARE, RLLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIMMY E. CHATMAN SR. (VICE PRESIDENT/FINANCE)
(252) 436-1101
Entity
Organization

Contact information

Practice address
120 CHARLES ROLLINS RD, SUITE 102, HENDERSON, NC 27536-2882
(252) 436-0440
Mailing address
120 CHARLES ROLLINS RD, SUITE 102, HENDERSON, NC 27536-2882
(252) 436-0440

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890214Q
NC
Enumeration date
07/19/2006
Last updated
08/25/2009
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