Healthcare Provider Details

I. General information

NPI: 1851549547
Provider Name (Legal Business Name): WELDON CITY SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2008
Last Update Date: 08/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 MULBERRY ST
WELDON NC
27890-1431
US

IV. Provider business mailing address

100 EUROPA DR SUITE 290
CHAPEL HILL NC
27517-2357
US

V. Phone/Fax

Practice location:
  • Phone: 252-536-4821
  • Fax: 252-536-4325
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: CYNTHIA DEBREAUX
Title or Position: EC PROGRAM DIRECTOR
Credential:
Phone: 252-536-4821