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710 Sunset Blvd N Sunset Beach NC 28468-4340 | |
(910) 575-3923 | |
(910) 575-3926 |
Full Name | |
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Speciality | Family Medicine |
Location | 710 Sunset Blvd N, Sunset Beach, North Carolina |
Authorized Official Name and Position | Bernard Leroy Langston (PRESIDENT) |
Authorized Official Contact | 9107548731 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 7237 Seaside Medical Center So Brunswick NC 28470 Ph: (910) 575-3923 | 710 Sunset Blvd N Sunset Beach NC 28468-4340 Ph: (910) 575-3923 |
NPI Number | 1538138979 |
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Provider Enumeration Date | 03/17/2006 |
Last Update Date | 02/05/2008 |
Identifier | Type | State | Issuer |
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1538138979 | NPI | - | NPPES |
348912A | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Seaside Family Medicine P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Sunset Blvd N, Suite A, Sunset Beach, NC 28468 Phone: 910-575-3923 Fax: 910-575-3926 | |