Healthcare Provider Details

I. General information

NPI: 1851313316
Provider Name (Legal Business Name): PENDER COUNTY SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 PENDERLEA HWY.
BURGAW NC
28425
US

IV. Provider business mailing address

100 EUROPA DR. SUITE 290
CHAPEL HILL NC
27517
US

V. Phone/Fax

Practice location:
  • Phone: 910-259-2187
  • Fax: 910-259-0133
Mailing address:
  • Phone: 919-942-9448
  • Fax: 919-942-7213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOYCE FAIRCLOTH CARTER
Title or Position: DIRECTOR OF EXC CHILDREN SERVICES
Credential:
Phone: 910-259-0131