# ALBERT A VERRILLI MD,PA

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

## Provider details

- **NPI number:** 1598836645
- **Authorized official:** DR. ALBERT ALEXANDER VERRILLI III M.D. (PRESIDENT)
- **Authorized official phone:** (910) 590-3397

## Contact information

- **Practice address:** 603 BEAMAN ST, CLINTON, NC 28328-2650
- **Practice address phone:** (910) 590-3397
- **Practice address fax:** (910) 592-1334
- **Mailing address:** 603 BEAMAN ST, CLINTON, NC 28328-2650
- **Mailing address phone:** (910) 590-3397
- **Mailing address fax:** (910) 592-1334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 29511 | NC | Yes |

## Other

- **Enumeration date:** 11/12/2006
- **Last updated:** 06/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7985058 | — | NC |