Macta, LLC
NPI #1053565648 in Rocky Mount, North Carolina
Provider Information
- NPI Number
- 1053565648
- Entity Type
- Organization
- Organization Name
- Macta, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 9, 2008
- Last Updated
- Jan 16, 2009
Practice Location
- Address
- 450 S WESLEYAN BLVD
- City
- Rocky Mount
- State
- North Carolina
- ZIP Code
- 27803-1700
- Phone
- (252) 443-0836
Authorized Official
- Name
- MR. RUSSELL W WOOTEN
- Title
- OWNER/MEMBER
- Phone
- (252) 443-0836
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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