| |
905 N Howe St Southport NC 28461-3037 | |
(910) 457-5657 | |
(910) 457-0909 |
Full Name | |
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Speciality | Internal Medicine |
Location | 905 N Howe St, Southport, North Carolina |
Authorized Official Name and Position | Daniel Porter (CFO) |
Authorized Official Contact | 9104573910 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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924 N Howe St Southport NC 28461-3038 Ph: (910) 457-3800 | 905 N Howe St Southport NC 28461-3037 Ph: (910) 457-5657 |
NPI Number | 1831505346 |
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Provider Enumeration Date | 07/03/2014 |
Last Update Date | 07/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831505346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (North Carolina) | Primary |
207VG0400X | Obstetrics & Gynecology - Gynecology | (North Carolina) | Secondary |
Intracoastal Executive Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 W West St Ste 202, Southport, NC 28461 Phone: 910-286-7420 | |
Reschly Family Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 N Atlantic Ave, Southport, NC 28461 Phone: 910-457-5891 Fax: 910-457-0228 | |
J Arthur Dosher Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 N Atlantic Ave, Southport, NC 28461 Phone: 910-454-4635 Fax: 855-777-2271 | |
J Arthur Dosher Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 N Howe Street, Southport, NC 28461 Phone: 910-457-3808 Fax: 910-457-3808 | |