Provider Demographics
NPI:1821866112
Name:DREAM PRIMARY CARE SERVICES, PC
Entity Type:Organization
Organization Name:DREAM PRIMARY CARE SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE SUPPORT
Authorized Official - Prefix:
Authorized Official - First Name:ADREANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-833-0365
Mailing Address - Street 1:216 STEWART PKWY
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-4972
Mailing Address - Country:US
Mailing Address - Phone:252-975-1111
Mailing Address - Fax:
Practice Address - Street 1:118 AVON AVE STE 103
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-3870
Practice Address - Country:US
Practice Address - Phone:252-833-0365
Practice Address - Fax:252-833-0364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty