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Nash Street Family Practice , P.C.

Family Medicine in Wilson, NC. Organization (NPI-2).

NPI number1609916865
StatusActive
Last updated in NPPESDec 29, 2009

Details

NPI
1609916865
Entity type
Organization (NPI-2)
Legal business name
Nash Street Family Practice , P.C.
Organization subpart
No
Enumeration date
Feb 7, 2007
Last updated
Dec 29, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

114 Brentwood Center Ln N
Wilson, NC 27896-1710

Phone 252-237-1610 · Fax 252-237-1630

Mailing address

114 Brentwood Center Ln N
Wilson, NC 27896-1710

Phone 252-237-1610 · Fax 252-237-1630

Authorized official

Janice Whiting Stump
President
2522371610

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