Organization
TARHEEL INTERNAL MEDICINE ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN HEWITT (OFFICE MANAGER)
(252) 338-4117
Entity
Organization
Contact information
Practice address
1134 N ROAD ST, BUILDING 4, ELIZABETH CITY, NC 27909-3365
(252) 338-4117
Mailing address
1134 N ROAD STREET, BUILDING 4, ELIZABETH CITY, NC 27909-3361
(252) 338-4117
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
16929
NC
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902472
—
NC
Enumeration date
12/15/2005
Last updated
11/02/2021
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