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Organization
CAROLINA MOUNTAIN EMERGENCY MEDICINE PA
Active
Organization
CAROLINA MOUNTAIN EMERGENCY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID POORBAUGH MD (MEDICAL DIRECTOR)
(800) 627-5670
Entity
Organization
Contact information
Practice address
ANGEL MEDICAL CENTER, RIVERVIEW AND WHITE OAK ST, FRANKLIN, NC 28734-2612
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 1856, PAWLEYS ISLAND, SC 29585-1856
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01036
BCBS
NC
05
—
5902361
—
NC
01
—
CD1694
RAILROAD MEDICARE
NC
05
—
QPB951
—
SC
Enumeration date
11/24/2006
Last updated
03/16/2009
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