| Seaside Wellness Of Shallotte | |
|
4748 Main Street Shallotte NC 28470 | |
| (910) 754-2273 | |
| (910) 754-2254 |
| Full Name | Seaside Wellness Of Shallotte |
|---|---|
| Speciality | Family Medicine |
| Location | 4748 Main Street, Shallotte, North Carolina |
| Authorized Official Name and Position | David K. Moye (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9192335956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Wellness Of Shallotte 5420 Wade Park Blvd Ste 106 Raleigh NC 27607-4188 Ph: (919) 233-5952 | Seaside Wellness Of Shallotte 4748 Main Street Shallotte NC 28470 Ph: (910) 754-2273 |
| NPI Number | 1720458326 |
|---|---|
| Provider Enumeration Date | 09/25/2015 |
| Last Update Date | 04/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720458326 | NPI | - | NPPES |
| 1720458326 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Commwell Health Of Shallotte Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341a Whiteville Rd Nw, Shallotte, NC 28470 Phone: 877-935-5255 Fax: 910-236-2118 | |
Brunswick Family Medical At Ocean Isle Beach Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 Village Rd Sw Ste 104, Shallotte, NC 28470 Phone: 910-754-7607 Fax: 910-754-7608 | |
Columbus Family Medical Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 Village Rd Sw Ste 104, Shallotte, NC 28470 Phone: 910-754-7607 | |
Essman Chiropractic & Wellness Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 Main St, Unit 2, Shallotte, NC 28470 Phone: 910-754-5678 Fax: 910-754-5679 | |
Blake Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4704 Main St, Shallotte, NC 28470 Phone: 910-754-4545 Fax: 910-754-4794 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Smith Ave, Shallotte, NC 28470 Phone: 704-384-9672 Fax: 704-316-8725 | |
East Coast Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Holden Beach Rd, Shallotte, NC 28470 Phone: 910-755-7779 Fax: 910-755-7784 |