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NPI Code Detail

MEDICARE: ONSLOW AMBULATORY SERVICES, INC.

MEDICARE: ONSLOW AMBULATORY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1356692065
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONSLOW AMBULATORY SERVICES, INC.
Provider Business Mailing Address
First Line : 241 NEW RIVER DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-5928
Country : US
Telephone Number : 910-577-2593
Fax Number : 910-577-4785
Provider Business Practice Location Address
First Line : 241 NEW RIVER DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-5928
Country : US
Telephone Number : 910-577-2345
Fax Number :
Authorized Official
Title or Position : PRACTICE DIRECTOR
Name : LIBBY SCOTT
Credential :
Telephone Number : 910-577-2533
Provider Enumeration Date : 09/21/2012
Last Update Date : 03/23/2022

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Directions to “ONSLOW AMBULATORY SERVICES, INC. ” Practice Location

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