NPI 1417344433 SOUTHEN TRANQUILITY MEDISPA, INC. ROANOKE RAPIDS NC. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Southen Tranquility Medispa, Inc. - NPI: 1417344433

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: SOUTHEN TRANQUILITY MEDISPA, INC.
NPI Number: 1417344433
Entity Type Code: Organizational (2)
Authorized Official Name: CARLTON REID BEAMAN
(MEDICAL DIRECTOR/OWNER)
Mailing Address: 130 Cardinal Dr
Roanoke Rapids
State: NC US
Postal Code: 278704946
Phone Number: 2523654440
Fax Number: 2523080862
NPI Enumeration Date: 04/16/2015
NPI Last Update Date: 04/16/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261Q00000X
License Number: 101911
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NC
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization:
Taxonomy Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


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