Individual
DR. JULIUS Q MALLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 N QUEEN STREET, KINSTON, NC 28501-4932
(252) 522-9800
(252) 523-9790
Mailing address
120 W MARTIN LUTHER KING JR DR, WASHINGTON, NC 27889-4906
(252) 940-0602
(252) 940-0924
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
28261
NC
207VM0101X
Maternal & Fetal Medicine Physician
28261
NC
207VX0000X
Obstetrics Physician
28261
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160034966
RAILROAD MEDICARE
NC
01
—
2170961
MEDICARE
NC
01
—
53777
BCBS NC
NC
05
—
8953777
—
NC
Enumeration date
08/25/2005
Last updated
12/05/2024
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