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Organization

NORTHEASTERN ORTHOPEDICS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARET STEVENSON LARABEE (SECRETARY, TREASURER)
(252) 332-3699
Entity
Organization

Contact information

Practice address
602 ACADEMY ST S, AHOSKIE, NC 27910-3239
(252) 332-3699
(252) 332-4335
Mailing address
602 ACADEMY ST S, AHOSKIE, NC 27910-3239
(252) 332-3699
(252) 332-4335

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
88829
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011MR
BLUE CROSS OF NC GROUP NU
NC
05
89011MR
NC
Enumeration date
04/24/2006
Last updated
08/22/2020
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