| Sandy Shores Primary Care, Pllc | |
|
13741 Nc Highway 50 Ste A Surf City NC 28445-6935 | |
| (910) 777-2732 | |
| (910) 777-2742 |
| Full Name | Sandy Shores Primary Care, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13741 Nc Highway 50 Ste A, Surf City, North Carolina |
| Authorized Official Name and Position | Rebecca L Cooper (OWNER) |
| Authorized Official Contact | 9107899883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Shores Primary Care, Pllc 13741 Nc Highway 50 Ste A Surf City NC 28445-6935 Ph: (910) 777-2782 | Sandy Shores Primary Care, Pllc 13741 Nc Highway 50 Ste A Surf City NC 28445-6935 Ph: (910) 777-2732 |
| NPI Number | 1508511767 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508511767 | NPI | - | NPPES |
| 1104159540 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Elite Comprehensive Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13094 Highway 50, Surf City, NC 28445 Phone: 708-227-3385 | |
Surf City Urgent Care And Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13520 Highway 50 210, Surf City, NC 28445 Phone: 910-329-9812 Fax: 910-329-9816 |