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Organization

YMCA OF SOUTHEASTERN NC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRIDGET MICHELLE CARROLL (COORDINATOR OF COMMUNITY HEALTH PRO)
(910) 251-9622
Entity
Organization

Contact information

Practice address
2710 MARKET STREET, WILMINGTON, NC 28403
(910) 251-8196
(844) 854-4659
Mailing address
PO BOX 3467, WILMINGTON, NC 28406
(910) 251-9622
(844) 854-4659

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary

Other

Enumeration date
09/25/2020
Last updated
09/25/2020
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