Open Water Medical, Pa | |
1209 E Ash St Goldsboro NC 27530-5103 | |
(919) 734-9455 | |
(919) 734-4769 |
Full Name | Open Water Medical, Pa |
---|---|
Speciality | Clinic/center |
Location | 1209 E Ash St, Goldsboro, North Carolina |
Authorized Official Name and Position | Tisha Rae Smith (PRACTICE MANAGER) |
Authorized Official Contact | 2527285737 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Open Water Medical, Pa 1620c Live Oak St Beaufort NC 28516-1583 Ph: (252) 728-5737 | Open Water Medical, Pa 1209 E Ash St Goldsboro NC 27530-5103 Ph: (919) 734-9455 |
NPI Number | 1720550940 |
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Provider Enumeration Date | 12/28/2018 |
Last Update Date | 02/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720550940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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