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710 Sunset Blvd N Suite A Sunset Beach NC 28468-4345 | |
(704) 384-7606 | |
(336) 277-7722 |
Full Name | |
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Speciality | Family Medicine |
Location | 710 Sunset Blvd N, Sunset Beach, North Carolina |
Authorized Official Name and Position | Geoffrey K Gardner (VP OF FINANCE) |
Authorized Official Contact | 7043847606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7606 | 710 Sunset Blvd N Suite A Sunset Beach NC 28468-4345 Ph: (704) 384-7606 |
NPI Number | 1457750838 |
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Provider Enumeration Date | 08/21/2014 |
Last Update Date | 08/21/2014 |
Identifier | Type | State | Issuer |
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1457750838 | 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 | |