Albert a Verrilli MD,PA
Organization Active NPI Family Medicine Physician · Clinton, NC
NPI 1598836645 · NPPES record last updated Jun 30, 2008
Key facts
- NPI
- 1598836645
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 29511 (NC)
- Legal business name
- ALBERT A VERRILLI MD,PA
- Practice address
- 603 Beaman St
Clinton, NC 28328-2650 - Phone
- (910) 590-3397
- Fax
- (910) 592-1334
- NPI assigned
- Nov 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Albert Alexander Verrilli III, M.D.
- Title
- President
- Phone
- (910) 590-3397
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 29511 | NC | Yes |
Addresses
Primary practice location
603 Beaman St
Clinton, NC 28328-2650
Mailing address
603 Beaman St
Clinton, NC 28328-2650
Phone (910) 590-3397
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7985058 | Medicaid | NC |
Other providers in Clinton, NC
- Advanced Physical Therapy of Clinton LLC
- Erica Agnese
- Scot Guilott Aiena
- Juanita Aiken
- Jordan Reagan Aikens
- All Seasons Home Care
- All Seasons Home Care
- Tabitha Allen
- Alternative Care Treatments Systems, Inc-Clinton
- Alternative Staffing
All providers in Clinton, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.