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690 Sunset Blvd. North Suite 109 Sunset Beach NC 28468-4337 | |
(910) 575-8488 | |
(910) 575-6542 |
Full Name | |
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Speciality | Family Medicine |
Location | 690 Sunset Blvd. North, Sunset Beach, North Carolina |
Authorized Official Name and Position | Kenneth D. Beasley (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 8437777010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3239 Florence SC 29502-3239 Ph: (843) 366-3729 | 690 Sunset Blvd. North Suite 109 Sunset Beach NC 28468-4337 Ph: (910) 575-8488 |
NPI Number | 1548537665 |
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Provider Enumeration Date | 11/17/2011 |
Last Update Date | 06/07/2022 |
Identifier | Type | State | Issuer |
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1548537665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (North Carolina) | Primary |
Seaside Family Medicine P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Sunset Blvd N, Suite A, Sunset Beach, NC 28468 Phone: 910-575-3923 Fax: 910-575-3926 | |