Pungo Family Medicine PA

Organization Active NPI Family Medicine Physician · Belhaven, NC

NPI 1699880971 · NPPES record last updated May 3, 2010

Key facts

NPI
1699880971
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
PUNGO FAMILY MEDICINE PA
Practice address
245 Allen Street
Belhaven, NC 27810-1405
Phone
(252) 944-2218
Fax
(252) 943-2377
NPI assigned
Aug 20, 2006
Organization subpart
No

Authorized official

Name
Mrs. Vanessa D. Beamer, RN
Title
Office Manager
Phone
(252) 944-2218

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X NC Yes

Addresses

Primary practice location

245 Allen Street
Belhaven, NC 27810-1405

Mailing address

245 Allen Street
Belhaven, NC 27810-1405
Phone (252) 944-2218

Other identifiers

IdentifierTypeStateIssuer
8914095MedicaidNC
017C5OtherNCBCBS

Other providers in Belhaven, NC

All providers in Belhaven, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.