Provider Demographics
NPI:1174282495
Name:MEDICAL CAREERS READINESS OF NORTH CAROLINA
Entity Type:Organization
Organization Name:MEDICAL CAREERS READINESS OF NORTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-739-7414
Mailing Address - Street 1:232 DABNEY DR STE B
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-4081
Mailing Address - Country:US
Mailing Address - Phone:757-739-7414
Mailing Address - Fax:
Practice Address - Street 1:232 DABNEY DR STE B
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-4081
Practice Address - Country:US
Practice Address - Phone:757-739-7414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center