Organization
J & L SUMMERVILLE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED SUMMERVILLE (SUPERINTENDENT)
(252) 230-2689
Entity
Organization
Contact information
Practice address
618 NE TARBORO ST, WILSON, NC 27893
(252) 230-2689
Mailing address
618 NE TARBORO ST, WILSON, CA 27893
(252) 230-2689
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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