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Organization
PILOT MEDICAL ASSOCIATES
Active
Organization
PILOT MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE R NICHOLS (PHYSICIAN)
(336) 368-2232
Entity
Organization
Contact information
Practice address
213C E MARION ST, PILOT MTN, NC 27041-8535
(336) 368-1070
(336) 368-1071
Mailing address
PO BOX 280, 4804 NC HWY 268 EAST, PILOT MTN, NC 27041-0280
(336) 368-2232
(336) 368-2232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89129N0
—
NC
Enumeration date
08/02/2005
Last updated
07/21/2022
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