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NPI Code Detail

MEDICARE: NATHAN CARR PULKINGHAM MD

MEDICARE: NATHAN CARR PULKINGHAM 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician34437NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3220033409OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21293FOTHERNCBCBS OF NC

General Provider Information

NPI Number : 1588663447
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN CARR PULKINGHAM MD
Provider Business Mailing Address
First Line : 5301 VIRGINIA WAY STE 300
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-7542
Country : US
Telephone Number : 615-221-4400
Fax Number :
Provider Business Practice Location Address
First Line : 500 JEFFERSON ST
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-3634
Country : US
Telephone Number : 910-642-8011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 01/27/2021

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Directions to “ NATHAN CARR PULKINGHAM MD” Practice Location

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