MEDICARE: ATLANTIC PULMONARY ASSOCIATES PA

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
1	207R00000X	Internal Medicine Physician	38977	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	110034885	OTHER		TRAVELERS RAILROAD MEDICA
3	227903486	OTHER		TRICARE
4	0195P	OTHER	NC	BCBS
5	1311983	OTHER		UNITED HEALTH CARE
6	240099	OTHER		BC OF VIRGINIA
7	5575035	OTHER		AETNA

General Provider Information

NPI Number	:	1194714626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC PULMONARY ASSOCIATES PA

Provider Business Mailing Address
First Line	:	111A MEDICAL DR
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-3361
Country	:	US
Telephone Number	:	252-331-1506
Fax Number	:	252-331-2311

Provider Business Practice Location Address
First Line	:	111A MEDICAL DR
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-3361
Country	:	US
Telephone Number	:	252-331-1506
Fax Number	:	252-331-2311

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	ALBRECHT MARK HEYDER
Credential	:	M.D.
Telephone Number	:	252-331-1506

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	11/15/2013

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Directions to “ATLANTIC PULMONARY ASSOCIATES PA ” Practice Location

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