Organization
COMMUNITY CARE CLINIC OF DARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYN MATHIS JENKINS BSN RN (EXECUTIVE DIRECTOR)
(252) 261-3041
Entity
Organization
Contact information
Practice address
425 W HEALTH CENTER DR, NAGS HEAD, NC 27959-8944
(252) 261-3041
(252) 255-6352
Mailing address
PO BOX 1329, NAGS HEAD, NC 27959-1329
(252) 261-3041
(252) 255-6352
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/14/2022
Last updated
08/11/2022
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