Organization
NASH INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAMILLA ALLYN PROCTOR MD (PRESIDENT)
(252) 443-2552
Entity
Organization
Contact information
Practice address
3009 ZEBULON RD, ROCKY MOUNT, NC 27804-2422
(252) 443-2552
(252) 443-0936
Mailing address
3009 ZEBULON RD, ROCKY MOUNT, NC 27804-2422
(252) 443-2552
(252) 443-0936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15996
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175A
BCBS
NC
05
—
890175 A
—
NC
Enumeration date
05/28/2006
Last updated
05/16/2008
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