East Coast Internal Medicine | |
460 Holden Beach Rd Shallotte NC 28470-1711 | |
(910) 755-7779 | |
(910) 755-7784 |
Full Name | East Coast Internal Medicine |
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Speciality | Internal Medicine |
Location | 460 Holden Beach Rd, Shallotte, North Carolina |
Authorized Official Name and Position | Dinesh S Pai (VP OF OPERATIONS) |
Authorized Official Contact | 7043849113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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East Coast Internal Medicine Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7840 | East Coast Internal Medicine 460 Holden Beach Rd Shallotte NC 28470-1711 Ph: (910) 755-7779 |
NPI Number | 1386786820 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 08/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386786820 | NPI | - | NPPES |
020C4 | Other | NC | BCBS-NC |
5905832 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (North Carolina) | Primary |
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