NPI 1659406056
A Primary Choice
Practice location
- Address
- 22421 Andrew Jackson Hwy, Maxton, NC 28364-6721
- Phone
- (910) 844-2008
- Fax
- (910) 844-4002
- Mailing address
- 500 Peterson Dr, Lumberton, NC 28358-2600
Authorised official
- Name
- Thad Junior Davis
- Title
- Director
- Phone
- (910) 739-1445
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1659406056
- Entity type
- Organization
- NPI issued
- 23 Feb 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.