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Group Service Inc

Group Service Inc is a health care provider in Rtp, NC. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1503 Denim Dr, Suite 101, Erwin, NC 28339-3017, US
Practice Location Phone919-822-2172
Practice Location Fax
Legal Business NameGROUP SERVICE INC
NPI ?1144505504
Entity TypeOrganization
Enumeration Date ? Oct 18, 2011
Last Update Date ? Aug 28, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Group Service Inc

SpecialtySpecializationLicenseLicense State
Psychiatry & NeurologyPsychiatry

legacy-id-icon Legacy Provider IDs of Group Service Inc

Provider IdIssuer StateIssuer TypeIssuer
5918588North CarolinaMedicaid

official-icon Authorized Official of Group Service Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Group Service Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Antonio Fozard
Authorized Official Title/PositionCEO
Authorized Official Phone Number919-697-6957