| Carolina Coast Primary Medicine | |
|
275 N Nc 24 & 50 Hwy Kenansville NC 28349-0148 | |
| (910) 296-1087 | |
| (910) 296-1086 |
| Full Name | Carolina Coast Primary Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 275 N Nc 24 & 50 Hwy, Kenansville, North Carolina |
| Authorized Official Name and Position | Bertha1 Taylor- Miller (MANAGER) |
| Authorized Official Contact | 9102961087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Coast Primary Medicine Po Box 148 Kenansville NC 28349-0148 Ph: (910) 296-1087 | Carolina Coast Primary Medicine 275 N Nc 24 & 50 Hwy Kenansville NC 28349-0148 Ph: (910) 296-1087 |
| NPI Number | 1669401964 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 11/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669401964 | NPI | - | NPPES |
| 11515 | Other | NC | BCBS |
| 5900323 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Goshen Medical Center Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 N Main St, Suite 2, Kenansville, NC 28349 Phone: 910-275-0195 Fax: 910-275-0192 | |
Appleaday Chronic Care Management, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Dobson Chapel Rd, Kenansville, NC 28349 Phone: 910-752-3039 | |
Goshen Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 Duplin St, Kenansville, NC 28349 Phone: 910-296-0790 Fax: 910-296-0879 | |
Med First Immediate Care & Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Nc 24 50 Hwy, Kenansville, NC 28349 Phone: 910-296-1087 Fax: 910-296-1086 | |
Goshen Medical Center, Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 Duplin St, Kenansville, NC 28349 Phone: 910-296-1811 Fax: 910-296-0862 |