Organization
TARBORO WOMEN'S CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WAYNE LEE MD (PRESIDENT)
(252) 823-6333
Entity
Organization
Contact information
Practice address
2704 N MAIN ST, TARBORO, NC 27886-1918
(252) 823-6333
(252) 823-1406
Mailing address
PO BOX 1257, TARBORO, NC 27886-1257
(252) 823-6333
(252) 823-1406
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0241E
BLUE CROSS BLUE SHIELD
NC
05
—
890241E
—
NC
01
—
CK3101
RAILROAD MEDICARE
NC
Enumeration date
12/13/2005
Last updated
08/22/2020
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