Healthcare Provider Details
I. General information
NPI: 1811284698
Provider Name (Legal Business Name): CARE4YOUNOW,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2011
Last Update Date: 06/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 N 8TH ST SUITE B
SMITHFIELD NC
27577-4119
US
IV. Provider business mailing address
601 N 8TH ST SUITE B
SMITHFIELD NC
27577-4119
US
V. Phone/Fax
- Phone: 919-209-4357
- Fax: 919-934-1135
- Phone: 919-209-4357
- Fax: 919-934-1135
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
DWIGHT
HEPLER
Title or Position: PRESIDENT/ CEO
Credential: PA-C
Phone: 919-986-8960