AVADA

SOUTHERN PINES, NC
NPI1447618491
Other NameOTICON
Entity TypeOrganization
Authorized ContactJAMES RYAN DIXON
Clinician
910-639-1557
Organization Subpart ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2016-02-05
Last Update Date2016-02-05
Business Address
AVADA
160 PINEHURST AVE STE G
SOUTHERN PINES, NC 28387-7078
Phone number: 910-692-4454
Mailing Address
AVADA
160 PINEHURST AVE STE G
SOUTHERN PINES, NC 28387-7078
Phone number: 910-692-4454