Carolina Age Rejuvenation Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18559 Issued in NC

Legal business name

CAROLINA AGE REJUVENATION CLINIC LLC

Practice address

208B Penny LN
Morehead City, NC 28557-4305

Phone

(252) 247-7298

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Donald Brooks Reece II, MD

Title

Owner

Phone

(252) 247-7298

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1265611941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208B PENNY LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574305",
            "telephone_number": "252-247-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208B PENNY LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574305",
            "telephone_number": "252-247-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA AGE REJUVENATION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-247-7298",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "18559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Elizabeth Cain, LCMHCA
• Garlon L Campbell Jr., MD
• Capital Neuroscience PA
• Antonio Miguel Carbonell, MD
• Carolina Age Rejuvenation Clinic
• Carolina Age Rejuvenation Clinics PC
• Carolina Case Management, Inc.
• Carolina Choice LLC
• Carolina East Counseling PLLC
• Carolina Home Medical, Inc.

• Family Medicine Physician in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.