Organization
CHARLES OTIS BOYETTE MD
Active
Other names
CO Boyette Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES OTIS BOYETTE SR. MD (OWNER)
(252) 943-6144
Entity
Organization
Contact information
Practice address
216 HASLIN STREET, BELHAVEN, NC 27810
(252) 943-6144
(252) 943-2038
Mailing address
PO BOX 310, BELHAVEN, NC 27810-0310
(252) 943-6144
(252) 943-2038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890201W
—
NC
Enumeration date
05/01/2006
Last updated
03/23/2010
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