Organization
HOOPER & BURNETT INTERNAL MEDICINE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN GORDON KURTZ (AUTHORIZED OFFICIAL)
(252) 955-0916
Entity
Organization
Contact information
Practice address
2130 B FOREST HILLS RD W, WILSON, NC 27893-3681
(252) 237-2700
(252) 237-5034
Mailing address
2130 FOREST HILLS RD W STE B, WILSON, NC 27893-3681
(252) 237-2700
(252) 237-5034
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
39649
NC
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890159E
—
NC
Enumeration date
03/28/2006
Last updated
10/20/2022
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