Organization
BEAUFORT REGIONAL PHYSICIANS, LLC
Active
Other names
PAMLICO INTERNAL MEDICINE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN S GERARD (PHYSICIAN PRACTICE ADMINISTRATOR)
(252) 975-4203
Entity
Organization
Contact information
Practice address
1380 COWELL FARM RD, WASHINGTON, NC 27889-3431
(252) 946-2101
(252) 946-9896
Mailing address
1380 COWELL FARM RD, WASHINGTON, NC 27889-3431
(252) 946-2101
(252) 946-9896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022T4
BLUE CROSS BLUE SHIELD
NC
05
—
5906188
—
NC
Enumeration date
09/05/2006
Last updated
01/21/2011
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