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1497490957
OPEN WATER MEDICAL, PA
JACKSONVILLE, NC
NPI
1497490957
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Entity Type
Organization
Authorized Contact
TISHA RAE SMITH
Practice Manager
252-728-5737
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-04-29
Last Update Date
2022-04-29
Business Address
OPEN WATER MEDICAL, PA
11 OFFICE PARK DR
JACKSONVILLE, NC 28546-7326
Phone number: 910-353-9906
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Mailing Address
OPEN WATER MEDICAL, PA
1620C LIVE OAK ST
BEAUFORT, NC 28516-1583
Phone number: 252-728-5737
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