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SUNESIS COMPREHENSIVE CARE PLLC NPI 1649663030


NPI Information

NPI: 1649663030
Provider Name: SUNESIS COMPREHENSIVE CARE, PLLC

Doing Business As: PRIMARY CARE OF ST. PAULS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
122 E BLUE ST
SAINT PAULS, NC
ZIP 28384
Phone: (910) 865-5177
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SUNESIS COMPREHENSIVE CARE, PLLC is a primary care clinic center in Saint Pauls, NC. SUNESIS COMPREHENSIVE CARE, PLLC NPI is 1649663030. The provider is registered as an organization entity type.
The provider Is Doing Business As Primary Care Of St. Pauls.

The provider's business location address is:

122 E BLUE ST
SAINT PAULS, NC
ZIP 28384-812
Phone: (910) 865-5177
Fax: (910) 865-9400

The provider's authorized official is Laticia Ann Tharrington .
The authorized official title is Owner and has the following contact phone number (910) 865-5177.

The enumeration date for this NPI number is 3/10/2015 and was last updated on 8/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care5000713NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11184694960OTHERNORTH CAROLINANPI
2Q68212MEDICARE UPINNORTH CAROLINA
37004391MEDICAIDNORTH CAROLINA
42592580OTHERNORTH CAROLINAPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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