| Port City Medical Associates | |
|
1612 Doctor Circle Wilmington NC 28401 | |
| (910) 762-1190 | |
| (910) 762-1196 |
| Full Name | Port City Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 1612 Doctor Circle, Wilmington, North Carolina |
| Authorized Official Name and Position | William Lawrence Joyner (PRESIDENT/CEO) |
| Authorized Official Contact | 9107621190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port City Medical Associates 1612 Doctor Circle Wilmington NC 28401 Ph: (910) 762-1190 | Port City Medical Associates 1612 Doctor Circle Wilmington NC 28401 Ph: (910) 762-1190 |
| NPI Number | 1881848547 |
|---|---|
| Provider Enumeration Date | 11/07/2008 |
| Last Update Date | 02/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881848547 | NPI | - | NPPES |
| 8947541 | Medicaid | NC | |
| G23917 | Other | NC | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9501564 (North Carolina) | Primary |
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