1316087992 COUNTRY CLUB II

Lodging Provider

Active

Basic Information

Organization Name
COUNTRY CLUB II
Enumeration Date
February 6, 2007
Last Update
August 22, 2020
Authorized Official
MS. PEARLIE M. BULLOCK
ADMINISTRATOR
Phone: (336) 674-6293

Practice Location

Address
4011 OLD COURTHOUSE RD
SOPHIA, NC 273508866
Phone
(336) 674-6293

Mailing Address

Address
1324 COLTRANE MILL RD
RANDLEMAN, NC 273178020
Phone
(336) 674-6293

Specialties & Taxonomies

Specialty Code Classification License State Primary
Lodging Provider
177F00000X Lodging FCL076031 NC Primary

Other Identifiers

Identifier Type State Issuer
FCL076031 05 NC N/A
MLH076085 05 NC N/A

Frequently Asked Questions

What is COUNTRY CLUB II's NPI number?
COUNTRY CLUB II's NPI number is 1316087992.
Which doctor has NPI number 1316087992?
The doctor with NPI number 1316087992 is COUNTRY CLUB II.
What is COUNTRY CLUB II's practice address?
COUNTRY CLUB II's practice address is 4011 OLD COURTHOUSE RD, SOPHIA, NC, 273508866.
Which doctor practices at 4011 OLD COURTHOUSE RD, SOPHIA, NC, 273508866?
COUNTRY CLUB II practices at 4011 OLD COURTHOUSE RD, SOPHIA, NC, 273508866.
What is COUNTRY CLUB II's mailing address?
COUNTRY CLUB II's mailing address is 1324 COLTRANE MILL RD, RANDLEMAN, NC, 273178020.
What is COUNTRY CLUB II's phone number?
COUNTRY CLUB II's phone number is (336) 674-6293.
Who is (336) 674-6293?
(336) 674-6293 is the phone number for COUNTRY CLUB II.
What is COUNTRY CLUB II's specialty?
COUNTRY CLUB II's specialty is Lodging Provider.
What type of doctor is COUNTRY CLUB II?
COUNTRY CLUB II is a Lodging Provider.
Is COUNTRY CLUB II a Lodging?
Yes, COUNTRY CLUB II is a Lodging.
Is COUNTRY CLUB II still practicing?
Yes, COUNTRY CLUB II is currently practicing.
Is COUNTRY CLUB II accepting new patients?
COUNTRY CLUB II may be accepting new patients. Please call their office at (336) 674-6293 to inquire about availability.
Is NPI 1316087992 still active?
Yes, NPI 1316087992 is currently active.
Where does COUNTRY CLUB II practice?
COUNTRY CLUB II practices in SOPHIA, NC.