Organization
COLUMBUS INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM MINU FERNZ MD (OWNER)
(910) 642-3356
Entity
Organization
Contact information
Practice address
626 JEFFERSON ST, WHITEVILLE, NC 28472-3708
(910) 642-3356
(910) 642-5433
Mailing address
626 JEFFERSON ST, WHITEVILLE, NC 28472-3708
(910) 642-3356
(910) 642-5433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0096-00530
NC
363AM0700X
Medical Physician Assistant
00100831
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891051N
—
NC
Enumeration date
09/10/2014
Last updated
01/04/2019
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