institution
Life Primary Care Clinic, Pllc
Primary Care Nurse Practitioner in Grimesland, North Carolina
NPI 1902352123

Life Primary Care Clinic, Pllc is a Primary Care Nurse Practitioner based in Grimesland, NC and is specialized in Primary Care. Life Primary Care Clinic, Pllc practices in Grimesland, NC. The NPI Number for Life Primary Care Clinic, Pllc is 1902352123 and holds a License No. 5005487 (North Carolina).

The current practice location address for Life Primary Care Clinic, Pllc is 550 River Street, Grimesland, NC and can be reached out via phone at 252-758-0602 and via fax at 252-329-9002.

Location: 550 River Street, Grimesland, NC, 27837-0087
institution
Provider Profile Details
NPI Number
1902352123
Provider Name
Life Primary Care Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
550 River Street, Grimesland, NC, 27837-0087
Phone Number
252-758-0602
Fax Number
252-329-9002
Provider Enumeration Date
08/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7006027 05 NC
institution
Provider Business Practice Location Address Details
Address
550 River Street
City
State
Zip
27837
Phone Number
252-758-0602
Fax Number
252-329-9002
person
Provider Business Mailing Address Details
Address
550 River Street
City
State
Zip
27837
Phone Number
252-758-0602
Fax Number
252-329-9002
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
5005487 (North Carolina)
Definition
Definition to come...
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