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Organization

NORTH RIVER PRIMECARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA H. GAULDEN ANP (OWNER)
(252) 728-3252
Entity
Organization

Contact information

Practice address
301 JONES AVE, BEAUFORT, NC 28516-1514
(252) 728-3252
(252) 728-3251
Mailing address
301 JONES AVE, BEAUFORT, NC 28516-1514
(252) 728-3252
(252) 728-3251

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
200400309
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
900119
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5907341
NC
Enumeration date
07/26/2007
Last updated
02/27/2013
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