Organization
COMMUNITY CARE CENTER
Active
Organization
COMMUNITY CARE CENTER
Active
Other names
Med-Aid Forsyth Stokes Davie
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TURNER ROBINSON (EXECUTIVE DIRECTOR)
(336) 760-1235
Entity
Organization
Contact information
Practice address
1900 S HAWTHORNE RD, SUITE 564, WINSTON SALEM, NC 27103-3913
(336) 714-2361
Mailing address
1900 S HAWTHORNE RD, SUITE 564, WINSTON SALEM, NC 27103-3913
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10119
NC PHARMACY PERMIT
NC
Enumeration date
04/01/2011
Last updated
04/01/2011
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