| Southport Internal Medicine Pa | |
|
1513 N Howe St Unit 6 Southport NC 28461-2769 | |
| (910) 457-9127 | |
| (910) 269-2884 |
| Full Name | Southport Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1513 N Howe St, Southport, North Carolina |
| Authorized Official Name and Position | Douglas K Hiltz (PRESIDENT) |
| Authorized Official Contact | 9104579127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southport Internal Medicine Pa Po Box 10922 Southport NC 28461-0922 Ph: (910) 457-9127 | Southport Internal Medicine Pa 1513 N Howe St Unit 6 Southport NC 28461-2769 Ph: (910) 457-9127 |
| NPI Number | 1528365657 |
|---|---|
| Provider Enumeration Date | 02/25/2011 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528365657 | NPI | - | NPPES |
| C201101100100-1 | Other | NC | DEPT OF THE SECRETARY OF STATE CERTIFICATION NUMBER |
| 34D0246020 | Other | NC | CLIA WAIVED CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 33376 (North Carolina) | Primary |
Intracoastal Executive Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 W West St Ste 202, Southport, NC 28461 Phone: 910-286-7420 | |
Dosher Medical - Smithville Crossing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1513 N Howe St, Ste 6, Southport, NC 28461 Phone: 910-457-9127 Fax: 910-269-2884 | |
Reschly Family Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 N Atlantic Ave, Southport, NC 28461 Phone: 910-457-5891 Fax: 910-457-0228 | |
J Arthur Dosher Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 N Atlantic Ave, Southport, NC 28461 Phone: 910-454-4635 Fax: 855-777-2271 | |
J Arthur Dosher Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 N Howe Street, Southport, NC 28461 Phone: 910-457-3808 Fax: 910-457-3808 | |
Dosher Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3009 Medical Plaza Ln, Southport, NC 28461 Phone: 910-457-1234 | |
Comprehensive Medical Associates, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5130 Southport Supply Rd Se, Suite 101 A, Southport, NC 28461 Phone: 910-454-4032 Fax: 910-454-4033 |