| Dr David A Joseph, MD | |
|
4647 Main St, Ste. 5, Shallotte, NC 28470-1905 | |
| (910) 755-6606 | |
| (910) 755-6608 |
| Full Name | Dr David A Joseph |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4647 Main St, 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 |
|---|---|---|---|
| 1619027471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2006-01332 (North Carolina) | Primary |
| Entity Name | Coastal Southeastern United Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346477403 PECOS PAC ID: 6204089188 Enrollment ID: O20121228000121 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David A Joseph, MD 4647 Main St Ste 5, Shallotte, NC 28470-1771 Ph: (910) 755-6606 | Dr David A Joseph, MD 4647 Main St, Ste. 5, Shallotte, NC 28470-1905 Ph: (910) 755-6606 |
Borislav Margaritov Mravkov, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 204 Smith Ave, Shallotte, NC 28470 Phone: 910-721-4220 Fax: 910-721-4229 | |
Marlon Anthony Graham, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 512 Village Rd Ste 104, Shallotte, NC 28470 Phone: 910-721-4200 Fax: 910-754-3811 | |
Dr. Robert M. Licata, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 |