Organization
PAMLICO MEDICAL CENTER PA
Active
Parent organization
PAMLICO MEDICAL CENTER PA
Other names
Oriental Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAMLICO MEDICAL CENTER PA
Authorized official
DR. MARC A WILLI MD (OFFICER)
(252) 249-2888
Entity
Organization
Contact information
Practice address
901 BROAD ST, ORIENTAL, NC 28571
(252) 249-2888
(252) 249-3166
Mailing address
PO BOX 1058, ORIENTAL, NC 28571-1058
(252) 249-2888
(252) 249-3166
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02364
BLUE CROSS BLUE SHIELD
NC
05
—
8902364
—
NC
Enumeration date
01/05/2007
Last updated
10/16/2008
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