Provider Demographics
NPI:1780839076
Name:P & S MED
Entity Type:Organization
Organization Name:P & S MED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPLE
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:SOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-248-2820
Mailing Address - Street 1:3294 EAGLE HEIGHTS CIR
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-9127
Mailing Address - Country:US
Mailing Address - Phone:704-248-2820
Mailing Address - Fax:
Practice Address - Street 1:3294 EAGLE HEIGHTS CIR
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-9127
Practice Address - Country:US
Practice Address - Phone:704-248-2820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700767208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty