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1942772983
OPEN WATER MEDICAL, PA
WILSON, NC
NPI
1942772983
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Entity Type
Organization
Authorized Contact
TISHA RAE SMITH
Practice Manager
252-728-5737
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2018-12-31
Last Update Date
2018-12-31
Business Address
OPEN WATER MEDICAL, PA
4008 NC-42
WILSON, NC 27893
Phone number: 252-291-2215
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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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