| Hampstead Internal Medicine Pa | |
|
16747 Us Highway 17 Hampstead NC 28443-3695 | |
| (252) 944-3725 | |
| Not Available |
| Full Name | Hampstead Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 16747 Us Highway 17, Hampstead, North Carolina |
| Authorized Official Name and Position | James R Manning (OWNER) |
| Authorized Official Contact | 9102305661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampstead Internal Medicine Pa 16747 Us Highway 17 Ste 124 Hampstead NC 28443-3695 Ph: (910) 230-5661 | Hampstead Internal Medicine Pa 16747 Us Highway 17 Hampstead NC 28443-3695 Ph: (252) 944-3725 |
| NPI Number | 1396443024 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 09/08/2023 |
| Medicare PECOS PAC ID | 1254790991 |
|---|---|
| Medicare Enrollment ID | O20230628004575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396443024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James R Manning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982790234 PECOS PAC ID: 8820029176 Enrollment ID: I20050825000979 |
| Provider Name | Holly Ann Kilian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639555493 PECOS PAC ID: 4284943663 Enrollment ID: I20151026002327 |
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