Organization
NATHAN CARR PULKINGHAM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN C PULKINGHAM MD (OWNER)
(919) 774-2270
Entity
Organization
Contact information
Practice address
1135 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 774-2270
Mailing address
PO BOX 3391, MARTINSVILLE, VA 24115-3391
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D0963164
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018F9
BCBS OF NC
NC
05
—
5904285
—
NC
05
—
7001250
—
NC
Enumeration date
07/20/2006
Last updated
09/10/2008
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