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16717 Us Highway 17 Ste 206 Hampstead NC 28443-3088 | |
| (703) 472-7668 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 16717 Us Highway 17 Ste 206, Hampstead, North Carolina |
| Authorized Official Name and Position | Darryl Hampton (OWNER) |
| Authorized Official Contact | 9102700052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1313 Spot Ln Carolina Beach NC 28428-5408 Ph: () - | 16717 Us Highway 17 Ste 206 Hampstead NC 28443-3088 Ph: (703) 472-7668 |
| NPI Number | 1891481834 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891481834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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