Organization
LITE BRITES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARI SELLERS (CO-OWNER)
(910) 538-6744
Entity
Organization
Contact information
Practice address
3040 BETHWICKE CT, RALEIGH, NC 27604-4964
(910) 538-6744
Mailing address
3040 BETHWICKE CT, RALEIGH, NC 27604-4964
(910) 538-6744
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5200
—
NC
Enumeration date
01/28/2021
Last updated
01/28/2021
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