MEDAC HEALTH SERVICES PA NPI 1578746236

NPI Information

MEDAC HEALTH SERVICES, PA is a general practice in Wilmington, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEDAC HEALTH SERVICES, PA NPI is 1578746236. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1442 MILITARY CUTOFF RD
WILMINGTON, NC
ZIP 28403-605
Phone: (910) 256-6088
Fax: (910) 332-1072

The provider's authorized official is Michael Paul Moulton .
The authorized official title is President and has the following contact phone number (910) 452-1400.

The CLIA number assigned to this NPI record is 34D0914474 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 6/10/2013.

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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