Organization
PINEHURST NEPHROLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA P CORBETT (DELEGATED OFFICIAL)
(910) 295-3344
Entity
Organization
Contact information
Practice address
293 OLMSTED BLVD STE 7, PINEHURST, NC 28374-9191
(910) 295-3344
(910) 295-3165
Mailing address
293 OLMSTED BLVD STE 7, PINEHURST, NC 28374-9191
(910) 295-3344
(910) 295-3165
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
9700591
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890249K
—
NC
Enumeration date
05/24/2005
Last updated
09/16/2025
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