Healthcare Provider Details

I. General information

NPI: 1760551337
Provider Name (Legal Business Name): COUNTY OF COLUMBUS OFFICE OF ACCOUNTANT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 10/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 JEFFERSON ST
WHITEVILLE NC
28472-3602
US

IV. Provider business mailing address

304 JEFFERSON ST 304 JEFFERSON ST
WHITEVILLE NC
28472-3602
US

V. Phone/Fax

Practice location:
  • Phone: 910-640-6615
  • Fax: 910-640-1088
Mailing address:
  • Phone: 910-640-6615
  • Fax: 910-640-1088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY L. SMITH
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 910-640-6615