| Dosher Medical - Long Beach Road | |
|
4222 Long Beach Rd Se Southport NC 28461-8627 | |
| (910) 454-1197 | |
| (910) 454-4330 |
| Full Name | Dosher Medical - Long Beach Road |
|---|---|
| Speciality | Clinic/Center |
| Location | 4222 Long Beach Rd Se, Southport, North Carolina |
| Authorized Official Name and Position | Thomas R Seimers (CEO) |
| Authorized Official Contact | 9104573910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dosher Medical - Long Beach Road 924 N Howe St Southport NC 28461-3038 Ph: (910) 457-3800 | Dosher Medical - Long Beach Road 4222 Long Beach Rd Se Southport NC 28461-8627 Ph: (910) 454-1197 |
| NPI Number | 1568887818 |
|---|---|
| Provider Enumeration Date | 02/24/2014 |
| Last Update Date | 02/24/2014 |
| Medicare PECOS PAC ID | 8921910324 |
|---|---|
| Medicare Enrollment ID | O20140516001773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568887818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H0150 (North Carolina) | Primary |
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