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NPI Code Detail

MEDICARE: EMERGEORTHO, P.A.

MEDICARE: EMERGEORTHO, P.A.
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1861001133
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGEORTHO, P.A.
Provider Business Mailing Address
First Line : 120 WILLIAM PENN PLZ
Second Line :
City : DURHAM
State : NC
Zip : 27704-2150
Country : US
Telephone Number : 919-281-1879
Fax Number : 919-220-6971
Provider Business Practice Location Address
First Line : 6019 OLEANDER DR STE 200
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-4813
Country : US
Telephone Number : 910-790-9714
Fax Number :
Authorized Official
Title or Position : MD, PRESIDENT
Name : THOMAS ALVA DIMMIG
Credential : MD
Telephone Number : 919-220-5255
Provider Enumeration Date : 07/23/2020
Last Update Date : 07/23/2020

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Directions to “EMERGEORTHO, P.A. ” Practice Location

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