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Organization

OPEN WATER MEDICAL, PA

Active
Parent organization
OPEN WATER MEDICAL, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
OPEN WATER MEDICAL, PA
Authorized official
SAMUEL WILLIS (COO)
(252) 723-7234
Entity
Organization

Contact information

Practice address
458 HWY 70 EAST, SEA LEVEL, NC 28577
(252) 728-5737
Mailing address
1620C LIVE OAK ST, BEAUFORT, NC 28516-1583
(252) 728-5737
(252) 723-5739

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
08/10/2026
Last updated
08/10/2026
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