William Blake Pemberton M.D.

NPI 1477998664 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1477998664
Gender Male
Enumeration Date 05/02/2013
Last Updated 05/02/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
170 MANNING DR
DEPARTMENT OF EMERGENCY MEDICINE
CHAPEL HILL NC, 27514-4221, US
Phone (919) 966-6442
Fax (919) 966-3049
Business Location
170 MANNING DR
DEPARTMENT OF EMERGENCY MEDICINE
CHAPEL HILL NC, 27514-4221, US
Phone (919) 966-6442
Fax (919) 966-3049
Toxanomy
Taxonomy Code 390200000X
License State North Carolina
License Number 191775
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According to our database, William Blake Pemberton M.D. NPI is 1477998664, taxonomy code is 390200000X and license number is 191775, license state is located at North Carolina. William Blake Pemberton M.D. physically located at 170 Manning Dr, Chapel Hill NC, 27514-4221. NPI Number William Blake Pemberton M.D. has the Individual type.

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1477998664 NPI number is provided on an as is basis without warranty of any kind. 1477998664 is maintained by the National Plan & Provider Enumeration System. The contents of William Blake Pemberton M.D. are for informational purposes only.