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Organization

PAMLICO MEDICAL CENTER PA

Active
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Organization

PAMLICO MEDICAL CENTER PA

Active
Parent organization
PAMLICO MEDICAL CENTER PA
Other names
Oriental Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PAMLICO MEDICAL CENTER PA
Authorized official
DR. MARC A WILLI MD (OFFICER)
(252) 249-2888
Entity
Organization

Contact information

Practice address
901 BROAD ST, ORIENTAL, NC 28571
(252) 249-2888
(252) 249-3166
Mailing address
PO BOX 1058, ORIENTAL, NC 28571-1058
(252) 249-2888
(252) 249-3166

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02364
BLUE CROSS BLUE SHIELD
NC
05
—
8902364
—
NC
Enumeration date
01/05/2007
Last updated
10/16/2008
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