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Organization
PHYSICIAN'S PRIME CARE CENTRE
Active
Organization
PHYSICIAN'S PRIME CARE CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN KIM MD (OWNER)
(252) 523-3111
Entity
Organization
Contact information
Practice address
2908 N HERRITAGE ST, KINSTON, NC 28501-1580
(252) 523-3111
Mailing address
PO BOX 1441, KINSTON, NC 28503-1441
(252) 523-3111
(252) 523-9572
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
9400542
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013G5
BCBS
NC
05
—
5906469
—
NC
Enumeration date
09/12/2007
Last updated
07/09/2009
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