| Shallotte Medical Center Inc | |
|
3875 Business Hwy 17 E Bolivia NC 28422 | |
| (910) 253-7990 | |
| (910) 253-7990 |
| Full Name | Shallotte Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3875 Business Hwy 17 E, Bolivia, North Carolina |
| Authorized Official Name and Position | Bernard Leroy Langston (PRESIDENT) |
| Authorized Official Contact | 9107548731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shallotte Medical Center Inc Po Box 409 Bolivia Medical Center Bolivia NC 28422 Ph: (910) 253-7990 | Shallotte Medical Center Inc 3875 Business Hwy 17 E Bolivia NC 28422 Ph: (910) 253-7990 |
| NPI Number | 1992764211 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992764211 | NPI | - | NPPES |
| 343928A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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