| Medac Health Services, Pa | |
|
2600 New Village Way Wilmington NC 28405-7426 | |
| (910) 338-2735 | |
| (910) 332-1072 |
| Full Name | Medac Health Services, Pa |
|---|---|
| Speciality | General Practice |
| Location | 2600 New Village Way, Wilmington, North Carolina |
| Authorized Official Name and Position | Michael Paul Moulton (PRESIDENT) |
| Authorized Official Contact | 9104521400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medac Health Services, Pa 4402 Shipyard Blvd Wilmington NC 28403-6161 Ph: (910) 452-1400 | Medac Health Services, Pa 2600 New Village Way Wilmington NC 28405-7426 Ph: (910) 338-2735 |
| NPI Number | 1124523881 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 03/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124523881 | NPI | - | NPPES |
| CC2877 | Other | NC | RAILROAD MEDICARE |
| 07651 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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