| Organization Name: | SUNESIS COMPREHENSIVE CARE, PLLC |
| NPI Number: | 1649663030 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LATICIA ANN THARRINGTON (OWNER) |
| Mailing Address: | 122 E Blue St Saint Pauls |
| State: | NC US |
| Postal Code: | 283841812 |
| Phone Number: | 9108655177 |
| Fax Number: | 9108659400 |
| NPI Enumeration Date: | 03/10/2015 |
| NPI Last Update Date: | 08/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 5000713 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |