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Organization

CHRISTY T PERDUE MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTY T PERDUE MD (MD/OWNER)
(910) 914-0370
Entity
Organization

Contact information

Practice address
619 JEFFERSON ST, WHITEVILLE, NC 28472-3707
(910) 914-0370
(910) 642-1065
Mailing address
619 JEFFERSON ST, PO BOX 1333, WHITEVILLE, NC 28472-3707
(910) 914-0370
(910) 642-1065

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200400570
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
138F4
BCBS
NC
05
89138F4
NC
Enumeration date
04/15/2008
Last updated
01/06/2014
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