Organization
REGIONAL MEDICAL ONCOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE L WHITLEY RN (PRACTICE MANAGER)
(252) 991-5261
Entity
Organization
Contact information
Practice address
2624 ORTHO DR, WILSON, NC 27893
(252) 991-5261
(252) 991-5262
Mailing address
2624 ORTHO DR W, WILSON, NC 27893-3484
(252) 991-5261
(252) 991-5262
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
193200000X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6901720001
DMERC PTAN
NC
Enumeration date
03/27/2014
Last updated
03/27/2014
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