| Shoreline Health, Pc | |
|
16150 Us Highway 17 Ste C Hampstead NC 28443-6302 | |
| (910) 319-9954 | |
| (910) 319-9955 |
| Full Name | Shoreline Health, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 16150 Us Highway 17 Ste C, Hampstead, North Carolina |
| Authorized Official Name and Position | David Floyd Hoag (PRESIDENT) |
| Authorized Official Contact | 9103199954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Health, Pc 16150 Us Highway 17 Ste C Hampstead NC 28443-6302 Ph: (910) 319-9954 | Shoreline Health, Pc 16150 Us Highway 17 Ste C Hampstead NC 28443-6302 Ph: (910) 319-9954 |
| NPI Number | 1972153724 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 06/14/2023 |
| Medicare PECOS PAC ID | 4183054356 |
|---|---|
| Medicare Enrollment ID | O20200707000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972153724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Gail L Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083656698 PECOS PAC ID: 2466480611 Enrollment ID: I20081115000193 |
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