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Organization
KIDNEY CENTER PA
Active
Organization
KIDNEY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD HOSMER MERRILL MD (DIRECTOR)
(252) 754-2900
Entity
Organization
Contact information
Practice address
990 JOHNS HOPKINS DR, GREENVILLE, NC 27834-7224
(252) 754-2900
(252) 754-2999
Mailing address
990 JOHNS HOPKINS DR, GREENVILLE, NC 27834-7224
(252) 754-2900
(252) 754-2999
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0266V
BCBS
NC
05
—
890266V
—
NC
Enumeration date
09/10/2007
Last updated
04/15/2010
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