Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Farmville Internal Medicine PA

Organization Family Medicine Physician · NPI 1710942610

Farmville Internal Medicine PA provides Family Medicine Physician services in Farmville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3485 N Main St
Farmville, NC 27828-1466 Not confirmed with CMS for 17 years — call before visiting
Phone: (252) 753-3193
Fax: (252) 753-7966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20000090 (NC)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 200000090 (NC)

Record details

NPI number1710942610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Marana — President · (252) 753-3193
NPI enumeratedApril 20, 2006
Last updated in NPPESApril 20, 2009
Mailing address3485 N Main St, Farmville, NC 27828-1466

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