Organization
OBXMD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN A SUPAN-MCPHERSON M.D. (PRESIDENT)
(252) 256-7792
Entity
Organization
Contact information
Practice address
4721 N CROATAN HWY, KITTY HAWK, NC 27949-8912
(252) 256-7792
(252) 256-7691
Mailing address
4721 N CROATAN HWY, KITTY HAWK, NC 27949-8912
(252) 256-7792
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
2005-01853
NC
Other
Enumeration date
03/06/2013
Last updated
03/11/2013
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