Organization
MCCAIN CORRECTIONAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN M HENDRICKS PA (PHYSICIAN ASSITANT)
(910) 944-2351
Entity
Organization
Contact information
Practice address
855 OLD NC 211 HWY, RAEFORD, NC 28376-5706
(910) 944-2351
(910) 944-9671
Mailing address
855 OLD NC 211 HWY, RAEFORD, NC 28376-5706
(910) 944-2351
(910) 944-9671
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
101646
NC
Other
Enumeration date
10/24/2006
Last updated
06/18/2008
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