TIGHT LINES FAMILY MEDICINE P.A. NPI 1366047748

NPI Information

TIGHT LINES FAMILY MEDICINE P.A. is a primary care clinic center in Wilmington, NC. TIGHT LINES FAMILY MEDICINE P.A. NPI is 1366047748. The provider is registered as an organization entity type.
The provider Is Doing Business As Tight Lines Family Medicine P.a..

The provider's business location address is:

1902 MEETING CT
WILMINGTON, NC
ZIP 28401-631
Phone: (910) 399-7180
Fax: (910) 660-8314

The provider's authorized official is Max Brandon Ludlum .
The authorized official title is Owner/operator and has the following contact phone number (910) 538-9581.

The CLIA number assigned to this NPI record is 34D2207580 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2020 and was last updated on 12/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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