NPI 1003017179
Community Innovations
Practice location
- Address
- 118 E Walter St, Whiteville, NC 28472-4142
- Phone
- (910) 640-2724
- Fax
- (910) 640-3474
- Mailing address
- 3210 Fairhill Dr, Raleigh, NC 27612-3220
Authorised official
- Name
- Andy Anderson
- Title
- President
- Phone
- (910) 642-5697
Registered specialties
Psychiatry Physician
Primary
Registry record
- NPI
- 1003017179
- Entity type
- Organization
- NPI issued
- 29 May 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.