Mt Olive Church of Christ

Primary specialty

Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X

Legal business name

MT OLIVE CHURCH OF CHRIST

Practice address

426 Haughton Rd
Edenton, NC 27932-9464

Phone

(252) 482-1540

NPI assigned

Aug 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mitchell G Wynn, PASTORAL COUNSELOR

Title

Pastor

Phone

(252) 484-2286

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1033885355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279320661",
            "telephone_number": "252-482-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 HAUGHTON RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329464",
            "telephone_number": "252-482-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT OLIVE CHURCH OF CHRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "252-484-2286",
        "authorized_official_credential": "PASTORAL COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Lynne Minor-Schork, RN MSN CS B.C.
• Mitcheners Pharmacy
• Monarch
• Cynthia Marie Morris, LCSWA
• Samuel Moskowitz, M.D.
• Atif Nasrullah
• Ethan Blake Nelson, DDS
• Paul C Neuman, DO
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #05568)
• Stephanie Laykish Nugen, MS, RD, LDN, CDE

• Religious Nonmedical Health Care Institution in Edenton, NC
• Providers in Edenton, NC by specialty
• Religious Nonmedical Health Care Institution in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.