# LITTLE RIVER MED 1 PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467619817
- **Authorized official:** DR. CLEMENT L MCCASKILL D.O. (PRESIDENT)
- **Authorized official phone:** (919) 736-0767

## Contact information

- **Practice address:** 210 N HERMAN ST, GOLDSBORO, NC 27530-3810
- **Practice address phone:** (919) 736-0767
- **Practice address fax:** (919) 580-0148
- **Mailing address:** 210 N HERMAN ST, GOLDSBORO, NC 27530-3810
- **Mailing address phone:** (919) 736-0767
- **Mailing address fax:** (919) 580-0148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 28928 | NC | Yes |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 11/04/2010