Organization
LITTLE RIVER MED 1 PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEMENT L MCCASKILL D.O. (PRESIDENT)
(919) 736-0767
Entity
Organization
Contact information
Practice address
210 N HERMAN ST, GOLDSBORO, NC 27530-3810
(919) 736-0767
(919) 580-0148
Mailing address
210 N HERMAN ST, GOLDSBORO, NC 27530-3810
(919) 736-0767
(919) 580-0148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28928
NC
Other
Enumeration date
05/21/2008
Last updated
11/04/2010
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