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NPI Code Detail

MEDICARE: A PRIMARY CHOICE, INC.

MEDICARE: A PRIMARY CHOICE, 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1417593476
Entity Type Code : Organization
Provider Name (Legal Business Name) : A PRIMARY CHOICE, INC.
Provider Business Mailing Address
First Line : PO BOX 159
Second Line :
City : SAINT PAULS
State : NC
Zip : 28384-0159
Country : US
Telephone Number : 910-865-3500
Fax Number : 910-865-3874
Provider Business Practice Location Address
First Line : 102 ELIZABETH ST STE C
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-5679
Country : US
Telephone Number : 910-939-2070
Fax Number : 910-939-2070
Authorized Official
Title or Position : CFO/CREDENTIALING SPECIALIST
Name : ASHLEY LOCKLEAR
Credential :
Telephone Number : 910-865-3500
Provider Enumeration Date : 11/25/2019
Last Update Date : 04/10/2026

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Directions to “A PRIMARY CHOICE, INC. ” Practice Location

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