PANACEA ADVENTURES


Address: 6054 Shiloh Dr, Wilmington, NC 28409-4420
Phone: 8082142858

PANACEA ADVENTURES (NPI# 1205112216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205112216
Entity Type Organization
Organization Name PANACEA ADVENTURES
Practice Address 6054 Shiloh Dr
Wilmington
NC 28409-4420
Mailing Address Po Box 15898
Wilmington
NC 28408-5898
Practice Telephone 8082142858
Mailing Telephone 8082142858
Enumeration Date 2011-10-24
Last Update Date 2011-10-24
Authorized Official Name MRS. CELINE A ADAIR (CLINICAL DIRECTOR)
Authorized Official Telephone 8082142858
Authorized Official Credential L.M.F.T
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251V00000X Voluntary or Charitable 1384 NC Agencies

Office Location

Street Address 6054 SHILOH DR
City WILMINGTON
State NC
Zip Code 28409-4420

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1952916728 Emily Savannah Holland Specialist/Technologist 1150 King's Hwy, Wilmington, NC 28409 2020-09-09
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1720482862 Leslie Morton Garris Pharmacist 6013 Chancellorville Drive, Wilmington, NC 28409 2014-10-17
1659621720 Charles Warren Moorehead Social Worker 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 2012-09-14
1992972020 Nancy Beth Kotz Social Worker 6211 Terrapin Ct, Wilmington, NC 28409 2008-05-08
1366611089 Michael Royce Penland Psychologist 5002-1 Hewletts Run, Wilmington, NC 28409 2008-02-27
1184755092 Keith W Mann Dentist 818-101 Pine Grove Drive, Wilmington, NC 28409 2007-03-09
1477650554 Jeffrey Beecham Chick Specialist 1201 Porches Dr, Suite 2, Wilmington, NC 28409 2006-09-20
1407964067 Richard A. Lally Counselor 5425 Golden Eagle Court, Wilmington, NC 28409 2006-08-25
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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

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Competitor

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City WILMINGTON
Zip Code 28409

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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