Country Club II

NPI #1316087992 in Sophia, North Carolina

Provider Information

NPI Number: 1316087992
Entity Type: Organization
Organization Name: Country Club II
Primary Specialty: Lodging
Enumeration Date: Feb 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4011 OLD COURTHOUSE RD
City: Sophia
State: North Carolina
ZIP Code: 27350-8866
Phone: (336) 674-6293

Authorized Official

Name: MS. PEARLIE M. BULLOCK
Title: ADMINISTRATOR
Phone: (336) 674-6293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Lodging	177F00000X	Primary

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