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Organization
PHYSICIANS PRIME CARE CENTER
Active
Organization
PHYSICIANS PRIME CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN KIM MD (OWNER)
(252) 523-3111
Entity
Organization
Contact information
Practice address
2908 N HERRITAGE ST, KINSTON, NC 28501-1580
(252) 523-3111
(252) 523-9572
Mailing address
2908 N HERRITAGE ST, KINSTON, NC 28501-1580
(252) 523-3111
(252) 523-9572
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48979
BLUE CROSS BLUE SHIELD
NC
01
—
8089107
CIGNA
NC
01
—
B5859
MEDCOST
NC
Enumeration date
07/31/2007
Last updated
07/31/2007
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