Organization
COMPREHENSIVE WELLNESS CENTER OF NORTH CAROLINA, PLLC
Active
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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