Provider Demographics
NPI:1497834519
Name:VIMMERSTEDT, MARGARET BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:BETH
Last Name:VIMMERSTEDT
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:UNC CAMPUS HEALTH SERVICES
Mailing Address - Street 2:CB# 7470
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7470
Mailing Address - Country:US
Mailing Address - Phone:919-966-6562
Mailing Address - Fax:919-966-0108
Practice Address - Street 1:UNC CAMPUS HEALTH SERVICES
Practice Address - Street 2:CB# 7470
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7470
Practice Address - Country:US
Practice Address - Phone:919-966-6562
Practice Address - Fax:919-966-0108
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC32593207R00000X
VT0420007727207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCOTH000Medicare UPIN