| Pelican Family Medicine - Carolina Beach | |
|
4833 Carolina Beach Rd Ste 106 Wilmington NC 28412-2370 | |
| (910) 332-7900 | |
| (910) 500-7469 |
| Full Name | Pelican Family Medicine - Carolina Beach |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4833 Carolina Beach Rd Ste 106, Wilmington, North Carolina |
| Authorized Official Name and Position | Gregory M Bounds (CEO) |
| Authorized Official Contact | 9102671237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelican Family Medicine - Carolina Beach Po Box 187 Faison NC 28341-0187 Ph: (910) 267-2042 | Pelican Family Medicine - Carolina Beach 4833 Carolina Beach Rd Ste 106 Wilmington NC 28412-2370 Ph: (910) 332-7900 |
| NPI Number | 1730857640 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730857640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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