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NPI Code Detail

MEDICARE: DARREN J PEARSON MD

MEDICARE: DARREN J PEARSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician106466MO
2207R00000XInternal Medicine Physician2020-00922NC

General Provider Information

NPI Number : 1083613749
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARREN J PEARSON MD
Provider Business Mailing Address
First Line : 1202 MEDICAL CENTER DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7307
Country : US
Telephone Number : 910-341-1540
Fax Number :
Provider Business Practice Location Address
First Line : 6727 PARKER FARM DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28405-3176
Country : US
Telephone Number : 910-772-0370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 01/30/2024

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