B & J Rest Villa

Specialty details in registry · Fremont, NC

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At a glance

305 South Vance Street, Fremont, NC 27830

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

305 South Vance Street
Fremont, NC 27830
Professional details: NPI, taxonomy & registry record
NPI1275676561
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
310400000X
Enumeration date
Feb 15, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

310400000X · Primary

License reported: HAL 096 004 NC

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

305 South Vance Street
Fremont, NC 27830
Phone
(919) 242-6161
Mailing address
PO BOX 295

FREMONT, NC 278300295
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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