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Organization
OPEN WATER MEDICAL, PA
Active
Organization
OPEN WATER MEDICAL, PA
Active
Other names
East Carteret Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TISHA RAE SMITH (PRACTICE MANAGER)
(252) 728-5737
Entity
Organization
Contact information
Practice address
1620 LIVE OAK ST STE C, BEAUFORT, NC 28516-1582
(252) 728-5737
(252) 728-5739
Mailing address
1620 LIVE OAK ST STE C, BEAUFORT, NC 28516-1582
(252) 728-5737
(252) 728-5739
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/26/2006
Last updated
09/02/2025
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