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Contact Information

PAMLICO INTERNAL MEDICINE ASSOCIATES INC
1314 HIGHLAND DR
WASHINGTON, NC27889
 Phone: 252-948-0101
 Fax: 252-974-5464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for PAMLICO INTERNAL MEDICINE ASSOCIATES INC

NPI # 1912949439
LBN Legal business name PAMLICO INTERNAL MEDICINE ASSOCIATES INC
Authorized official THOMAS NICHOLSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2006
Last updated 01/02/2008 - About 18 years ago
Identifiers
NC Medicaid 8902363
GA Other CC9429 MEDICARE RAILROAD
NC Other 019GY BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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