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Individual

NATHAN CARR PULKINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 JEFFERSON ST, WHITEVILLE, NC 28472-3634
(910) 642-8011
Mailing address
5301 VIRGINIA WAY STE 300, BRENTWOOD, TN 37027-7542
(615) 221-4400

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34437
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1293F
BCBS OF NC
NC
01
220033409
RAILROAD MEDICARE
05
891293F
NC
Enumeration date
07/21/2005
Last updated
01/27/2021
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