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Organization

ALBEMARLE NEUROLOGY, P. A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAMELA SUE EVANS M.D. (PRESIDENT)
(252) 331-1188
Entity
Organization

Contact information

Practice address
110 MEDICAL DR, SUITE 5, ELIZABETH CITY, NC 27909-3374
(252) 331-1188
(252) 335-9920
Mailing address
110 MEDICAL DR, SUITE 5, ELIZABETH CITY, NC 27909-3374
(252) 331-1188
(252) 335-9920

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9900827
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12159
BCBS
NC
05
8912159
NC
Enumeration date
01/22/2007
Last updated
09/06/2007
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