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Organization

MORNING STAR WOMEN HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICKY LORENZO BROOKS M.D. (ADMINISTRATOR)
(252) 332-8206
Entity
Organization

Contact information

Practice address
422 PEACOCK ST, P. O. BO 190, AHOSKIE, NC 27910-3930
(252) 332-8206
(252) 332-1623
Mailing address
422 PEACOCK ST, PO BOX 190, AHOSKIE, NC 27910-3930
(252) 332-8206
(252) 332-1623

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31775
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
790239R
NC
Enumeration date
11/14/2006
Last updated
01/26/2010
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