| Open Water Medical, Pa | |
|
1303 Water Plant Rd Zebulon NC 27597-8615 | |
| (919) 269-4101 | |
| (919) 269-8811 |
| Full Name | Open Water Medical, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1303 Water Plant Rd, Zebulon, North Carolina |
| Authorized Official Name and Position | Kerry A Willis (PRESIDENT) |
| 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 1303 Water Plant Rd Zebulon NC 27597-8615 Ph: (919) 269-4101 |
| NPI Number | 1437531100 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 06/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437531100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30580 (North Carolina) | Primary |
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