| Seaside Internal Medicine Pllc | |
|
1328 N Lake Park Blvd Suite 106 Carolina Beach NC 28428-3945 | |
| (910) 458-5750 | |
| (910) 458-5770 |
| Full Name | Seaside Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1328 N Lake Park Blvd, Carolina Beach, North Carolina |
| Authorized Official Name and Position | Sara L Christiansen (OWNER MEDICAL DIRECTOR) |
| Authorized Official Contact | 9104585750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Internal Medicine Pllc Po Box 311 Carolina Beach NC 28428-0311 Ph: (910) 458-5750 | Seaside Internal Medicine Pllc 1328 N Lake Park Blvd Suite 106 Carolina Beach NC 28428-3945 Ph: (910) 458-5750 |
| NPI Number | 1831155415 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831155415 | NPI | - | NPPES |
| 138XP | Other | NC | BCBS |
| 5900288 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (North Carolina) | Primary |
The Launch Pad Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 Merchant Ln, Carolina Beach, NC 28428 Phone: 910-769-6053 |