| Island Family Medicine, Pllc | |
|
2540 Nc Highway 210 E Hampstead NC 28443-8988 | |
| (910) 329-9916 | |
| (910) 329-9919 |
| Full Name | Island Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2540 Nc Highway 210 E, Hampstead, North Carolina |
| Authorized Official Name and Position | James S Blair (PRESIDENT) |
| Authorized Official Contact | 9103299916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Family Medicine, Pllc P.o Box 2400 Surf City NC 28445-2400 Ph: (910) 329-9916 | Island Family Medicine, Pllc 2540 Nc Highway 210 E Hampstead NC 28443-8988 Ph: (910) 329-9916 |
| NPI Number | 1831414150 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 09/28/2020 |
| Medicare PECOS PAC ID | 8123156445 |
|---|---|
| Medicare Enrollment ID | O20100506000984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831414150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32636 (North Carolina) | Primary |
| Provider Name | James Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902885700 PECOS PAC ID: 8729000294 Enrollment ID: I20070601000166 |
| Provider Name | Heather L Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528260981 PECOS PAC ID: 6406917905 Enrollment ID: I20081202000716 |
| Provider Name | Alexis Passingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568808251 PECOS PAC ID: 9335393800 Enrollment ID: I20200902001769 |
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