| Atlantic Internal Medicine Pa | |
|
16 Medical Center Dr Supply NC 28462-3350 | |
| (910) 754-8921 | |
| (910) 754-7140 |
| Full Name | Atlantic Internal Medicine Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 16 Medical Center Dr, Supply, North Carolina |
| Authorized Official Name and Position | Richard D. Crane (PRESIDENT) |
| Authorized Official Contact | 9107548921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Internal Medicine Pa 16 Medical Center Dr Supply NC 28462-3350 Ph: (910) 754-8921 | Atlantic Internal Medicine Pa 16 Medical Center Dr Supply NC 28462-3350 Ph: (910) 754-8921 |
| NPI Number | 1982621546 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 02/01/2018 |
| Medicare PECOS PAC ID | 5698795805 |
|---|---|
| Medicare Enrollment ID | O20051202000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982621546 | NPI | - | NPPES |
| 013FE | Other | NC | BCBS |
| 79013FE | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Timothy Pius Gibble |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386604064 PECOS PAC ID: 9537189790 Enrollment ID: I20051202000036 |
| Provider Name | Richard D Crane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013096486 PECOS PAC ID: 4284822644 Enrollment ID: I20101229000476 |
Holden Beach Medical Center, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2930 Holden Beach Rd Sw, Supply, NC 28462 Phone: 910-842-5991 Fax: 910-842-5994 | |
Church Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Campus Dr, Suite 203, Supply, NC 28462 Phone: 910-755-7181 Fax: 910-755-7194 | |
Holden Beach Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2930 Holden Beach Rd, Supply, NC 28462 Phone: 910-842-5991 Fax: 910-842-5994 | |
Novant Health Gastroenterology Brunswick Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Medical Campus, Suite 102, Supply, NC 28462 Phone: 910-754-5988 Fax: 910-754-5989 | |
Brunswick Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Doctors Cir, Suite 2, Supply, NC 28462 Phone: 910-755-6802 Fax: 910-755-6804 | |
Coastal Gastroenterology Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Medical Center Drive, Supply, NC 28462 Phone: 910-754-7790 Fax: 910-754-7838 | |
Chicora Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Campus Dr, Supply, NC 28462 Phone: 910-755-6300 Fax: 910-755-2364 |