Organization
EMERGENCY MEDICINE PHYSICIANS OF LENOIR COUNTY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C PACKO MD (PRESIDENT)
(330) 493-4443
Entity
Organization
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(330) 493-4443
(330) 493-8677
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790118H
—
NC
05
—
QPA471
—
SC
Enumeration date
06/06/2006
Last updated
02/23/2011
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