| Port Health Services | |
|
2808 S Croatan Hwy Ste B Nags Head NC 27959-9024 | |
| (252) 441-2324 | |
| (252) 441-1994 |
| Full Name | Port Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2808 S Croatan Hwy Ste B, Nags Head, North Carolina |
| Authorized Official Name and Position | Brett Beavers (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9192107661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Health Services 4300 Sapphire Ct Ste 110 Greenville NC 27834-9079 Ph: (252) 830-7540 | Port Health Services 2808 S Croatan Hwy Ste B Nags Head NC 27959-9024 Ph: (252) 441-2324 |
| NPI Number | 1245500909 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245500909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-028-018 (North Carolina) | Primary |
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