Organization
PACK FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN B PACK PA-C (PHYSICIAN ASSISTANT)
(910) 862-7225
Entity
Organization
Contact information
Practice address
212 S PINE ST, ELIZABETHTOWN, NC 28337-9163
(910) 862-7225
Mailing address
212 S PINE ST, ELIZABETHTOWN, NC 28337-9163
(910) 862-7225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
101844
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184653610
NPI-FOR KAREN B PACK PA-C
—
Enumeration date
02/03/2010
Last updated
02/03/2010
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