| Clark E Pritts, DO | |
|
5145 Sellers Rd, Shallotte, NC 28470-3405 | |
| (910) 754-4441 | |
| (910) 754-5307 |
| Full Name | Clark E Pritts |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5145 Sellers Rd, Shallotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104814946 | NPI | - | NPPES |
| 141H5 | Other | NC | BCBS OF NC |
| 5903932 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101009995 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 200401306 (North Carolina) | Primary |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679528384 PECOS PAC ID: 1153234893 Enrollment ID: O20060828000304 |
| Mailing Address | Practice Location Address |
|---|---|
| Clark E Pritts, DO Po Box 60447, Charlotte, NC 28260-0447 Ph: (910) 754-4441 | Clark E Pritts, DO 5145 Sellers Rd, Shallotte, NC 28470-3405 Ph: (910) 754-4441 |
Christopher Brian Isenhour, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 Fax: 910-754-5307 | |
Jonathan Lawrence Langston, PAC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Shallotte Medical Center Inc, 341a Whiteville Rd, Shallotte, NC 28470 Phone: 910-754-8731 Fax: 910-754-3153 | |
Angela Renee Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 Fax: 910-754-5307 | |
Dr. Jarrod Thomas Sheatsley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 Fax: 910-754-5307 | |
David Chadwick Weston, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 Fax: 910-754-5307 | |
Daniel Crawford Hall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 |