# THREE PINES INTERNAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952952574
- **Authorized official:** DONALD PESCHONG PA-C (PROVIDER)
- **Authorized official phone:** (910) 207-6218

## Contact information

- **Practice address:** 138 MEMORY PLZ, WHITEVILLE, NC 28472-2640
- **Practice address phone:** (910) 207-6218
- **Practice address fax:** (910) 207-6219
- **Mailing address:** 138 MEMORY PLZ, WHITEVILLE, NC 28472-2640
- **Mailing address phone:** (910) 207-6218
- **Mailing address fax:** (910) 207-6219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2019
- **Last updated:** 09/25/2019