# OPEN WATER MEDICAL, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** East Carteret Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750482493
- **Authorized official:** TISHA RAE SMITH (PRACTICE MANAGER)
- **Authorized official phone:** (252) 728-5737

## Contact information

- **Practice address:** 1620 LIVE OAK ST STE C, BEAUFORT, NC 28516-1582
- **Practice address phone:** (252) 728-5737
- **Practice address fax:** (252) 728-5739
- **Mailing address:** 1620 LIVE OAK ST STE C, BEAUFORT, NC 28516-1582
- **Mailing address phone:** (252) 728-5737
- **Mailing address fax:** (252) 728-5739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 09/02/2025