Organization
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC
Active
Other names
Kerr Lake Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY VAUGHN (VICE PRESIDENT)
(252) 436-1674
Entity
Organization
Contact information
Practice address
120 CHARLES ROLLINS RD, SUITE 205, HENDERSON, NC 27536-2882
(252) 436-1314
(252) 436-1315
Mailing address
120 CHARLES ROLLINS RD, SUITE 206, HENDERSON, NC 27536-2882
(252) 436-1314
(252) 436-1315
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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