Progress Medical, Pllc | |
1642 Military Cutoff Rd Wilmington NC 28403-5716 | |
(910) 274-6718 | |
(910) 782-0829 |
Full Name | Progress Medical, Pllc |
---|---|
Speciality | Internal Medicine |
Location | 1642 Military Cutoff Rd, Wilmington, North Carolina |
Authorized Official Name and Position | Joshua Dobstaff (OWNER) |
Authorized Official Contact | 9102746718 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Progress Medical, Pllc 2104 Talmage Dr Leland NC 28451-9340 Ph: (910) 274-6718 | Progress Medical, Pllc 1642 Military Cutoff Rd Wilmington NC 28403-5716 Ph: (910) 274-6718 |
NPI Number | 1104431725 |
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Provider Enumeration Date | 09/10/2020 |
Last Update Date | 10/14/2024 |
Medicare PECOS PAC ID | 5294154944 |
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Medicare Enrollment ID | O20200929002362 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104431725 | NPI | - | NPPES |
2012-01439 | Other | NC | DOH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Joshua Dobstaff |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891923975 PECOS PAC ID: 8729237615 Enrollment ID: I20121010000058 |
Provider Name | Alsasha Halt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659062321 PECOS PAC ID: 1557720091 Enrollment ID: I20230630002924 |
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