Individual
KATHERINE MCNEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
108 TRADE ST, WILLIAMSTON, NC 27892-7008
(252) 789-4001
(252) 799-0204
Mailing address
108 TRADE ST, P.O.BOX 1659, WILLIAMSTON, NC 27892-7008
(252) 789-4001
(252) 799-0204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33869
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110225016
RAILROAD MEDICARE
NC
01
—
58033
BLUE CROSS BLUE SHIELD
NC
05
—
8958033
—
NC
Enumeration date
08/15/2006
Last updated
11/20/2009
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