Organization
TARBORO INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA CASTILLO MD (MEDICAL DIRECTOR)
(252) 823-0808
Entity
Organization
Contact information
Practice address
2704 N MAIN STREET, SUITE A, TARBORO, NC 27886-1918
(252) 823-0808
(252) 823-6010
Mailing address
2704 N MAIN STREET, SUITE A, TARBORO, NC 27886-1918
(252) 823-0808
(252) 823-6010
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
200100655
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900019
—
NC
Enumeration date
11/17/2006
Last updated
05/28/2008
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