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NPI Code Detail

MEDICARE: POPE MEDICAL ASSOCIATES INC

MEDICARE: POPE MEDICAL ASSOCIATES INC
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
1163WP0000XPain Management Registered Nurse
2291900000XMilitary Clinical Medical Laboratory
3291U00000XClinical Medical Laboratory
4292200000XDental Laboratory
5293D00000XPhysiological Laboratory
6207Q00000XFamily Medicine Physician5006312NC

General Provider Information

NPI Number : 1508385428
Entity Type Code : Organization
Provider Name (Legal Business Name) : POPE MEDICAL ASSOCIATES INC
Provider Business Mailing Address
First Line : 172 W INDEPENDENCE BLVD
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-3566
Country : US
Telephone Number : 336-415-5853
Fax Number :
Provider Business Practice Location Address
First Line : 172 W INDEPENDENCE BLVD
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-3566
Country : US
Telephone Number : 336-415-5853
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PENNY M POPE
Credential : NP
Telephone Number : 336-710-1949
Provider Enumeration Date : 09/12/2017
Last Update Date : 07/21/2022

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