Organization · Type 2 NPI

Open Water Medical, PA

Clinic/Center · Goldsboro, NC

NPI number 1720550940 Active

Practice location

1209 E Ash St
Goldsboro, NC 27530-5103

Fax (919) 734-4769

Mailing address

1620C Live Oak St
Beaufort, NC 28516-1583

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3 other providers at this address

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About NPI 1720550940

Open Water Medical, PA's National Provider Identifier is 1720550940, issued on Dec 28, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Goldsboro, NC. The record was last updated on Feb 24, 2022.