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Organization
NELMS FAMILY & PREVENTIVE MEDICINE, P.A.
Active
Organization
NELMS FAMILY & PREVENTIVE MEDICINE, P.A.
Active
Other names
Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE R NELMS JR. MD (PRESIDENT)
(252) 399-0707
Entity
Organization
Contact information
Practice address
2546 WARD BLVD, WILSON, NC 27893
(252) 399-0707
(252) 291-7079
Mailing address
2546 WARD BLVD, WILSON, NC 27893
(252) 399-0707
(252) 291-7079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000001081876
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01471
BCBS OF NC
—
Enumeration date
11/09/2006
Last updated
06/30/2015
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