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Organization

WASHINGTON PULMONARY ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNY CHARLES NALL M.D. (PHYSICIAN/OWNER)
(252) 948-0900
Entity
Organization

Contact information

Practice address
1380 COWELL FARM RD, WASHINGTON, NC 27889-3431
(252) 946-0900
(252) 948-0902
Mailing address
1380 COWELL FARM RD, WASHINGTON, NC 27889-3431
(252) 946-0900
(252) 948-0902

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
9901269
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1253W
BLUE CROSS BLUE SHIELD
NC
05
891253W
NC
Enumeration date
11/13/2007
Last updated
10/12/2010
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