NPI 1053565648
Macta, LLC
Practice location
- Address
- 450 S Wesleyan Blvd, Rocky Mount, NC 27803-1700
- Phone
- (252) 443-0836
- Fax
- (252) 443-0836
- Mailing address
- 1012 Sandberg Ln, Rocky Mount, NC 27803-2253
Authorised official
- Name
- Russell W Wooten
- Title
- Owner/Member
- Phone
- (252) 443-0836
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1053565648
- Entity type
- Organization
- NPI issued
- 9 Nov 2008
- Record last updated
- 16 Jan 2009
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.