MEDICARE: GIRLTALK & GYNECOLOGY, PC

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	207VG0400X	Gynecology Physician	9701092	NC

General Provider Information

NPI Number	:	1306159066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIRLTALK & GYNECOLOGY, PC

Provider Business Mailing Address
First Line	:	4251 ARENDELL ST STE C
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2871
Country	:	US
Telephone Number	:	252-222-0660
Fax Number	:	252-222-0663

Provider Business Practice Location Address
First Line	:	4251 ARENDELL ST STE C
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2871
Country	:	US
Telephone Number	:	252-222-0660
Fax Number	:	252-222-0663

Authorized Official
Title or Position	:	PRESIDENT/PHYSICIAN
Name	:	DR. JENNIFER ORR
Credential	:	M.D.
Telephone Number	:	252-222-0660

Provider Enumeration Date	:	07/22/2010
Last Update Date	:	10/16/2012

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