Organization
COMPREHENSIVE WELLNESS CENTER OF NORTH CAROLINA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE FREDERICK FNP (FAMILY NURSE PRACTITIONER)
(910) 353-1991
Entity
Organization
Contact information
Practice address
1201 GUM BRANCH RD, JACKSONVILLE, NC 28540-5016
(910) 353-1991
(910) 455-6698
Mailing address
1201 GUM BRANCH RD, JACKSONVILLE, NC 28540-5016
(910) 353-1991
(910) 455-6698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004371
NC
Other
Enumeration date
07/23/2012
Last updated
02/03/2014
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