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NPI Code Detail

MEDICARE: HALIFAX MEDICAL SERVICES PA

MEDICARE: HALIFAX MEDICAL SERVICES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305S00000XPoint of Service

General Provider Information

NPI Number : 1235295338
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALIFAX MEDICAL SERVICES PA
Provider Business Mailing Address
First Line : 1444 JEFFREYS RD
Second Line : #144
City : ROCKY MOUNT
State : NC
Zip : 27804-1820
Country : US
Telephone Number : 252-977-0279
Fax Number :
Provider Business Practice Location Address
First Line : 1444 JEFFREYS RD
Second Line : #144
City : ROCKY MOUNT
State : NC
Zip : 27804-1820
Country : US
Telephone Number : 252-977-0279
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOHN HUME FAULKNER
Credential : PA-C, MPH
Telephone Number : 252-977-0279
Provider Enumeration Date : 12/31/2006
Last Update Date : 07/08/2008

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Directions to “HALIFAX MEDICAL SERVICES PA ” Practice Location

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