Supreme Choice Healthcare | |
2407 Grace Ave Ste 4-5 New Bern NC 28562-4416 | |
(252) 772-2304 | |
(252) 523-1101 |
Full Name | Supreme Choice Healthcare |
---|---|
Speciality | Community/behavioral Health |
Location | 2407 Grace Ave, New Bern, North Carolina |
Authorized Official Name and Position | Nikisha Williams (MANAGER) |
Authorized Official Contact | 2525231100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Supreme Choice Healthcare 2407 Grace Ave Suites 4-5 New Bern NC 28562-4416 Ph: (252) 772-2304 | Supreme Choice Healthcare 2407 Grace Ave Ste 4-5 New Bern NC 28562-4416 Ph: (252) 772-2304 |
NPI Number | 1093089583 |
---|---|
Provider Enumeration Date | 02/29/2012 |
Last Update Date | 02/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093089583 | NPI | - | NPPES |
3418755 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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