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Organization

ALBEMARLE HOSPITAL FOUNDATION

Active
Other names
UHS/DE Telepsychiatry
Organization subpart
No

Provider details

NPI number
Authorized official
RAYMOND C OWINGS (CFO)
(252) 384-4168
Entity
Organization

Contact information

Practice address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
(910) 938-1118
Mailing address
PO BOX 1412, ELIZABETH CITY, NC 27906-1412
(252) 475-0033
(252) 384-4051

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200200418
NC
363LF0000X
Family Nurse Practitioner
97995
NC

Other

Enumeration date
05/20/2011
Last updated
05/23/2011
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