Seaside Wellness Of Shallotte | |
4503 Main St Ste 1 Shallotte NC 28470-4583 | |
(910) 754-2273 | |
(910) 754-2254 |
Full Name | Seaside Wellness Of Shallotte |
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Speciality | Family Medicine |
Location | 4503 Main St Ste 1, Shallotte, North Carolina |
Authorized Official Name and Position | David Moye (DIRECTOR) |
Authorized Official Contact | 9196140301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Seaside Wellness Of Shallotte Po Box 63103 Charlotte NC 28263-3103 Ph: (919) 233-5952 | Seaside Wellness Of Shallotte 4503 Main St Ste 1 Shallotte NC 28470-4583 Ph: (910) 754-2273 |
NPI Number | 1689125858 |
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Provider Enumeration Date | 10/21/2016 |
Last Update Date | 09/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689125858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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