Organization
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC
Active
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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