OPEN WATER MEDICAL, PA

SANFORD, NC
NPI1760921613
Entity TypeOrganization
Authorized ContactKERRY A WILLIS
President
252-723-7233
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  30580)
Enumeration Date2017-02-13
Last Update Date2017-02-13
Business Address
OPEN WATER MEDICAL, PA
109 SOUTH VANCE ST
SANFORD, NC 27330
Phone number: 919-776-4040
Mailing Address
OPEN WATER MEDICAL, PA
1620 C LIVE OAK ST
BEAUFORT, NC 28516
Phone number: 252-728-5737
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