Organization
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC
Active
Other names
Maria Parham Nephrology & Hypertension Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY VAUGHN (VICE PRESIDENT)
(252) 436-1674
Entity
Organization
Contact information
Practice address
568 RUIN CREEK RD, SUITE 006, HENDERSON, NC 27536-2880
(252) 436-1080
(252) 436-1082
Mailing address
120 CHARLES ROLLINS RD, SUITE 206, HENDERSON, NC 27536-2882
(252) 436-1080
(252) 436-1082
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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