Medstat Of Goldsboro Inc.

NPI 1134217680

Information of Medstat Of Goldsboro Inc.

The NPI 1134217680 is an Organization type. NPI No 1134217680 belongs to Medstat Of Goldsboro Inc.. Medstat Of Goldsboro Inc. specializes in Family Medicine. is practising at 1707 Wayne Memorial Dr, Goldsboro, North Carolina 27534. You can also contact him via phone number (919) 736-9699.

Practice address located

  • 1707 Wayne Memorial Dr
  • Goldsboro, North Carolina 27534
  • (919) 736-9699
  • (919) 736-9699

Mailling address located

  • 1707 Wayne Memorial Dr
  • Goldsboro, North Carolina 27534
  • (919) 736-9699
  • (919) 734-0501
Medstat Of Goldsboro Inc. is PECOS enrolled.
NPI No 1134217680
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes207Q00000XFamily Medicine25354North Carolina
Identifier for this provider
StateIdentifierTypeIssuer
NC=========OtherTAX ID
NC2314125Medicare PINn/a
NCC81757Medicare UPINn/a
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