Destiny Total Healthcare, Pllc
NPI #1487251807 in Burgaw, North Carolina
Provider Information
- NPI Number
- 1487251807
- Entity Type
- Organization
- Organization Name
- Destiny Total Healthcare, Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 8, 2020
- Last Updated
- Nov 30, 2020
Practice Location
- Address
- 407 FREMONT STREET
- City
- Burgaw
- State
- North Carolina
- ZIP Code
- 28425
- Phone
- (910) 900-5411
Authorized Official
- Name
- TONIA WHITLEY GRAY, NURSE PRACTITIONER
- Title
- OWNER
- Phone
- (910) 259-3489
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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