Organization Name: | UNCOMMON CARE PA |
NPI Number: | 1659517993 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWIN P. YAEGER (OWNER) |
Mailing Address: | 9633 Bitter Melon Dr Angier |
State: | NC US |
Postal Code: | 27501 |
Phone Number: | 9196398900 |
Fax Number: | 9196399500 |
NPI Enumeration Date: | 12/16/2008 |
NPI Last Update Date: | 10/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |