Provider Information for 1972649408
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OBERRY NEURO-MEDICAL TREATMENT CENTER
Organization Subpart: NO
NPI: 1972649408
Last Updated: 2024-10-17
Certification Date: 2024-10-17
Certification Date: 2024-10-17
Details
Name | Value | ||||||||
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NPI | 1972649408 | ||||||||
Enumeration Date | 2007-01-30 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: KAREN BURKES Title: Division Director Phone: 9198554700 | ||||||||
Mailing Address | 400 OLD SMITHFIELD ROAD GOLDSBORO, NC 27530-8464 United States Phone: 919-581-4000 | Fax:919-581-4038 | ||||||||
Primary Practice Address | 400 OLD SMITHFIELD ROAD GOLDSBORO, NC 27530-8464 United States Phone: 919-581-4000 | Fax:919-581-4038 | ||||||||
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