| Roll'n 2 Success | |
|
106 Jackson St Ne A Wilson NC 27893-3810 | |
| (919) 824-9506 | |
| Not Available |
| Full Name | Roll'n 2 Success |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 106 Jackson St Ne, Wilson, North Carolina |
| Authorized Official Name and Position | Edward Garry Oden (OWNER) |
| Authorized Official Contact | 9198249506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roll'n 2 Success 1621 Beacon Village Dr Raleigh NC 27604-8505 Ph: (919) 824-9506 | Roll'n 2 Success 106 Jackson St Ne A Wilson NC 27893-3810 Ph: (919) 824-9506 |
| NPI Number | 1104155845 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 12/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104155845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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