Organization
PAMLICO INTERNAL MEDICINE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W NICHOLSON MD (PRESIDENT)
(252) 946-2101
Entity
Organization
Contact information
Practice address
1314 HIGHLAND DR, WASHINGTON, NC 27889
(252) 948-0101
(252) 974-5464
Mailing address
1314 HIGHLAND DR, WASHINGTON, NC 27889
(252) 948-0101
(252) 974-5464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019GY
BCBS
NC
05
—
8902363
—
NC
01
—
CC9429
MEDICARE RAILROAD
GA
Enumeration date
06/11/2006
Last updated
01/02/2008
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