Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-09-05
- Last updated
- 2010-08-26
Specialties
Licenses
- License NC
- 2478
Location
- Practice location
- 13550 HWY 55 E
- City
- ALLIANCE NC
- Postal code
- 28509
- Phone
- 252-745-0334
Organization contact
- Name
- THOMAS AXELSON
- Title
- Owner
- Phone
- 2527450334
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.