Organization
PINEHURST GERIATRICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM WARD PATRICK M.D. (PRESIDENT)
(910) 295-6158
Entity
Organization
Contact information
Practice address
300 BLAKE BLVD, PINEHURST, NC 28374-8474
(910) 295-6158
Mailing address
PO BOX 3290, PINEHURST, NC 28374-3290
(910) 295-6158
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187F
BCBS
NC
05
—
890187F
—
NC
Enumeration date
01/18/2007
Last updated
02/05/2010
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