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Organization

CAROLINA MOUNTAIN EMERGENCY MEDICINE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID POORBAUGH MD (MEDICAL DIRECTOR)
(800) 627-5670
Entity
Organization

Contact information

Practice address
ANGEL MEDICAL CENTER, RIVERVIEW AND WHITE OAK ST, FRANKLIN, NC 28734-2612
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 1856, PAWLEYS ISLAND, SC 29585-1856
(843) 237-3378
(843) 237-5073

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01036
BCBS
NC
05
5902361
NC
01
CD1694
RAILROAD MEDICARE
NC
05
QPB951
SC
Enumeration date
11/24/2006
Last updated
03/16/2009
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