Organization
TARBORO INTERNAL MEDICINE OF NORTH CAROLINA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMA EVERLYN CASTILLO M.D. (DOCTOR/OWNER)
(252) 823-0808
Entity
Organization
Contact information
Practice address
2704-C NORTH MAIN STREET, TARBORO, NC 27886-2704
(252) 823-0808
(252) 823-6010
Mailing address
2704-C NORTH MAIN STREET, TARBORO, NC 27886-2704
(252) 823-0808
(252) 823-6010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200001464895
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020E2
BCBS
NC
01
—
4213840
CIGNA
NC
05
—
5900019
—
NC
01
—
DO3424
MEDICARE RAILROAD
—
Enumeration date
08/30/2007
Last updated
04/01/2009
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