Provider Demographics
NPI:1407542897
Name:NEIGHBORHOOD IMPROVEMENT PROJECT INC
Entity Type:Organization
Organization Name:NEIGHBORHOOD IMPROVEMENT PROJECT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-790-4440
Mailing Address - Street 1:PO BOX 63169
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28263-3169
Mailing Address - Country:US
Mailing Address - Phone:866-770-4104
Mailing Address - Fax:
Practice Address - Street 1:2030 WALTON WAY
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-4120
Practice Address - Country:US
Practice Address - Phone:706-790-4440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center