| Comprehensive Medical Associates, Pllc | |
|
5130 Southport Supply Rd Se Suite 101 A Southport NC 28461-9261 | |
| (910) 454-4032 | |
| (910) 454-4033 |
| Full Name | Comprehensive Medical Associates, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5130 Southport Supply Rd Se, Southport, North Carolina |
| Authorized Official Name and Position | Sherry Z Ikalowych (PHYSICIAN/OWENER) |
| Authorized Official Contact | 9104544032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Medical Associates, Pllc 5130 Southport Supply Rd Se Suite 101 A Southport NC 28461-9261 Ph: (910) 454-4032 | Comprehensive Medical Associates, Pllc 5130 Southport Supply Rd Se Suite 101 A Southport NC 28461-9261 Ph: (910) 454-4032 |
| NPI Number | 1386843779 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 01/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386843779 | NPI | - | NPPES |
| 5902156 | Medicaid | NC | |
| 9406199 | Other | PHCS | |
| 140K2 | Other | NC | BCBS OF NC |
| 8089924 | Other | NC | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200500060 (North Carolina) | Primary |
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