| Brunswick Family Medical At Ocean Isle Beach | |
|
712 Village Rd Sw Ste 104 Shallotte NC 28470-3449 | |
| (910) 754-7607 | |
| (910) 754-7608 |
| Full Name | Brunswick Family Medical At Ocean Isle Beach |
|---|---|
| Speciality | Family Medicine |
| Location | 712 Village Rd Sw Ste 104, Shallotte, North Carolina |
| Authorized Official Name and Position | Jim Steed (PRESIDENT) |
| Authorized Official Contact | 9102341686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brunswick Family Medical At Ocean Isle Beach Po Box 859 Whiteville NC 28472-0859 Ph: (910) 642-9800 | Brunswick Family Medical At Ocean Isle Beach 712 Village Rd Sw Ste 104 Shallotte NC 28470-3449 Ph: (910) 754-7607 |
| NPI Number | 1114028859 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/18/2022 |
| Medicare PECOS PAC ID | 2769568492 |
|---|---|
| Medicare Enrollment ID | O20080320000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114028859 | NPI | - | NPPES |
| 5902118 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cathy M Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548239692 PECOS PAC ID: 1850376088 Enrollment ID: I20040622000992 |
| Provider Name | Amy R Pharr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275537037 PECOS PAC ID: 9537129036 Enrollment ID: I20041018001062 |
| Provider Name | Joseph E Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518955269 PECOS PAC ID: 3375569643 Enrollment ID: I20051017000906 |
| Provider Name | Meki Jacobs Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831443993 PECOS PAC ID: 8022262070 Enrollment ID: I20130129000361 |
Commwell Health Of Shallotte Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341a Whiteville Rd Nw, Shallotte, NC 28470 Phone: 877-935-5255 Fax: 910-236-2118 | |
Columbus Family Medical Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 Village Rd Sw Ste 104, Shallotte, NC 28470 Phone: 910-754-7607 | |
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Novant Medical Group,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Smith Ave, Shallotte, NC 28470 Phone: 704-384-9672 Fax: 704-316-8725 | |
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