Organization · Type 2 NPI
Outerbanks Massage With Goulet (omg)
Point of Service · Southern Shores, NC
NPI number
1144760273
Active
Practice location
12 Juniper Trl Ste 203
Southern Shores, NC 27949-3745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 14500 (NC) |
| Physical Therapy Clinic/Center | 261QP2000X | 14500 (NC) |
| Point of Service Primary | 305S00000X | 14500 (NC) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1144760273
Outerbanks Massage With Goulet (omg)'s National Provider Identifier is 1144760273, issued on Mar 8, 2017. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Southern Shores, NC. The record was last updated on Mar 8, 2017.