Provider Demographics
NPI:1679705875
Name:MARIA PARHAM NEPHROLOGY & HYPERTENSION
Entity type:Organization
Organization Name:MARIA PARHAM NEPHROLOGY & HYPERTENSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLETARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-426-1100
Mailing Address - Street 1:566 RUIN CREEK RD
Mailing Address - Street 2:SUITE 006
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-2927
Mailing Address - Country:US
Mailing Address - Phone:252-436-1080
Mailing Address - Fax:252-436-1082
Practice Address - Street 1:566 RUIN CREEK RD
Practice Address - Street 2:SUITE 006
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-2927
Practice Address - Country:US
Practice Address - Phone:252-436-1080
Practice Address - Fax:252-436-1082
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARIA PARHAM ANETHESIA & PHYSIATRY CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty