Individual
PAULETTE KEITH INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
529 BECKER DR, ROANOKE RAPIDS, NC 27870-3303
(252) 537-1400
(252) 537-4936
Mailing address
529 BECKER DR, ROANOKE RAPIDS, NC 27870-3303
(252) 537-1400
(252) 537-4936
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28419
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8945264
—
NC
Enumeration date
03/25/2006
Last updated
09/21/2012
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