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Organization
OUTERBANKS PROFESSIONAL SERVICES LLC
Active
Organization
OUTERBANKS PROFESSIONAL SERVICES LLC
Active
Other names
DARE MEDICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VAN SMITH (PRESIDENT)
(252) 449-4500
Entity
Organization
Contact information
Practice address
604 AMANDA ST, MANTEO, NC 27954-9039
(252) 473-3478
(252) 473-3600
Mailing address
604 AMANDA ST, MANTEO, NC 27954-9039
(252) 473-3478
(252) 473-3600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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