Oceana Primary Care, Pa | |
4000 Shipyard Blvd Suite 110 Wilmington NC 28403-6192 | |
(910) 313-6954 | |
(910) 313-6957 |
Full Name | Oceana Primary Care, Pa |
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Speciality | Internal Medicine |
Location | 4000 Shipyard Blvd, Wilmington, North Carolina |
Authorized Official Name and Position | Ami S. Patel (PRESIDENT) |
Authorized Official Contact | 9103136954 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Oceana Primary Care, Pa 4000 Shipyard Blvd Suite 110 Wilmington NC 28403-6192 Ph: (910) 313-6954 | Oceana Primary Care, Pa 4000 Shipyard Blvd Suite 110 Wilmington NC 28403-6192 Ph: (910) 313-6954 |
NPI Number | 1225077720 |
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Provider Enumeration Date | 06/06/2006 |
Last Update Date | 06/24/2008 |
Medicare PECOS PAC ID | 7810096369 |
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Medicare Enrollment ID | O20080718000548 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225077720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ami S Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407895907 PECOS PAC ID: 4082713532 Enrollment ID: I20070702000259 |
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