Organization
PAMLICO PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY S LEE (PRACTICE MANAGER)
(252) 745-2070
Entity
Organization
Contact information
Practice address
13531 HWY 55 WEST, ALLIANCE, NC 28509
(252) 745-2070
(252) 745-2202
Mailing address
PO BOX 416, BAYBORO, NC 28515
(252) 745-2070
(252) 745-2202
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
0039010
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012G9
BCBSNC
NC
05
—
89012G9
—
NC
Enumeration date
02/27/2007
Last updated
02/08/2011
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