Organization
MARIA MEDICAL CENTER, PLLC
Active
Other names
JOSETTE MARIA, MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
JOSETTE MARIA MD (PRESIDENT)
(910) 892-8892
Entity
Organization
Contact information
Practice address
800 SUSAN TART RD, DUNN, NC 28334
(910) 892-8892
(910) 892-1063
Mailing address
800 SUSAN TART RD, DUNN, NC 28334-5506
(910) 892-8892
(910) 892-1063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
200100412
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1281E
BCBS NC
NC
05
—
5950092
—
NC
05
—
891281E
—
NC
Enumeration date
09/26/2007
Last updated
08/14/2021
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