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1578704466
EVERGREEN HEALTH SERVICES, LLC
FAYETTEVILLE, NC
NPI
1578704466
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Entity Type
Organization
Authorized Contact
BRENTON BLAKE BYRD
CEO
910-640-5512
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2009-03-23
Last Update Date
2009-03-23
Business Address
EVERGREEN HEALTH SERVICES, LLC
4276 LEGEND AVE
FAYETTEVILLE, NC 28303-1965
Phone number: 910-867-0035
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Mailing Address
EVERGREEN HEALTH SERVICES, LLC
PO BOX 425 1409 PINCKNEY STREET
WHITEVILLE, NC 28472-0425
Phone number: 910-640-5551
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