Organization
LIFE PRIMARY CARE CLINIC, PLLC
Active
Organization
LIFE PRIMARY CARE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA H COX RN (CLINICAL MANAGER)
(252) 916-3645
Entity
Organization
Contact information
Practice address
550 RIVER STREET, GRIMESLAND, NC 27837
(252) 758-0602
(252) 329-9002
Mailing address
PO BOX 87, GRIMESLAND, NC 27837-0087
(252) 758-0602
(252) 329-9002
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5005487
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006027
—
NC
Enumeration date
08/28/2016
Last updated
10/08/2016
Update your record
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