Organization
GOLDEN GROVE EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L. MURPHY (EXECUTIVE VICE PRESIDENT)
(800) 444-7009
Entity
Organization
Contact information
Practice address
401 NORTH MAIN STREET, KENANSVILLE, NC 28349
(910) 296-0941
Mailing address
PO BOX 41628, PHILADELPHIA, PA 19101-1628
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018TU
BLUE SHIELD
NC
05
—
5906132
—
NC
Enumeration date
10/27/2006
Last updated
04/20/2008
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