Organization
KERR LAKE ORTHOPAEDICS
Active
Parent organization
MARIA PARHAM ANESTHESIA AND PHYSIARTY CTR
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARIA PARHAM ANESTHESIA AND PHYSIARTY CTR
Authorized official
JIM CHATMAN (VICE PRESIDENT FINANCE CFO)
(252) 436-1101
Entity
Organization
Contact information
Practice address
120 CHARLES ROLLINS RD, SUITE 205, HENDERSON, NC 27536-2882
(252) 436-1314
Mailing address
120 CHARLES ROLLINS ROAD, SUITE 205, HENDERSON, NC 27536
(252) 436-1314
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200800411
NC
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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