Organization
LAURELLYN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMOS T PAGTER JR. MD (OWNER)
(828) 859-6697
Entity
Organization
Contact information
Practice address
37 WILDERNESS RD, TRYON, NC 28782-5508
(828) 859-6697
(828) 859-6933
Mailing address
37 WILDERNESS RD, TRYON, NC 28782-5508
(828) 859-6697
(828) 859-6933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13197
NC
Other
Enumeration date
11/29/2007
Last updated
06/19/2008
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