Healthcare Provider Details
I. General information
NPI: 1154834687
Provider Name (Legal Business Name): DLP PERSON URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/07/2017
Last Update Date: 11/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 US 1 HWY STE 100
YOUNGSVILLE NC
27596-7873
US
IV. Provider business mailing address
330 SEVEN SPRINGS WAY
BRENTWOOD TN
37027-5098
US
V. Phone/Fax
- Phone: 919-562-2340
- Fax: 919-562-2315
- Phone: 161-592-0700
- Fax: 615-920-8775
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARA
MILLER
Title or Position: DIRECTOR
Credential:
Phone: 615-920-7514