Open Water Medical, PA
NPI #1699421065 in Newport, North Carolina
Provider Information
- NPI Number
- 1699421065
- Entity Type
- Organization
- Organization Name
- Open Water Medical, PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 24, 2022
- Last Updated
- Feb 24, 2022
Practice Location
- Address
- 263 HOWARD BLVD
- City
- Newport
- State
- North Carolina
- ZIP Code
- 28570-7927
- Phone
- (252) 728-5737
Authorized Official
- Name
- TISHA RAE SMITH
- Title
- PRACTICE MANAGER
- Phone
- (252) 728-5737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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