| Organization Name: | OBXMD, P.C. |
| NPI Number: | 1134460892 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN A SUPAN-MCPHERSON (PRESIDENT) |
| Mailing Address: | 4721 N Croatan Hwy Kitty Hawk |
| State: | NC US |
| Postal Code: | 279498912 |
| Phone Number: | 2522567792 |
| Fax Number: | 2522567691 |
| NPI Enumeration Date: | 03/06/2013 |
| NPI Last Update Date: | 03/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 2005-01853 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |