Organization · Type 2 NPI
Destiny Total Healthcare, PLLC
Primary Care Clinic/Center · Burgaw, NC
NPI number
1487251807
Active
Practice location
407 Fremont Street
Burgaw, NC 28425
Mailing address
407 E Fremont St
Burgaw, NC 28425-5129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1487251807
Destiny Total Healthcare, PLLC's National Provider Identifier is 1487251807, issued on Oct 8, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Burgaw, NC. The record was last updated on Nov 30, 2020.