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Organization
PITT FAMILY PHYSICIANS, PA
Active
Organization
PITT FAMILY PHYSICIANS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MADISON GALLOWAY JR. M. D. (PRESIDENT)
(252) 746-3116
Entity
Organization
Contact information
Practice address
137 3RD ST, AYDEN, NC 28513-7252
(252) 746-3116
(252) 746-2394
Mailing address
137 3RD ST, AYDEN, NC 28513-7252
(252) 746-3116
(252) 746-2394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02398
BLUE CROSS BLUE SHIELD
NC
05
—
8902398
—
NC
01
—
CD1753
RAILROAD MEDICARE
NC
Enumeration date
11/21/2006
Last updated
02/19/2008
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