# PAMLICO MEDICAL CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PAMLICO MEDICAL CENTER PA
- **Other names:** Oriental Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285781740
- **Legal business name:** PAMLICO MEDICAL CENTER PA
- **Authorized official:** DR. MARC A WILLI MD (OFFICER)
- **Authorized official phone:** (252) 249-2888

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NC | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 10/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02364 | BLUE CROSS BLUE SHIELD | NC |
| 05 | — | 8902364 | — | NC |