HOLDEN BEACH MEDICAL CENTER PA NPI 1770722118

NPI Information

NPI: 1770722118
Provider Name: HOLDEN BEACH MEDICAL CENTER PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
2930 HOLDEN BEACH RD SW
SUPPLY, NC
ZIP 28462
Phone: (910) 842-5991
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HOLDEN BEACH MEDICAL CENTER PA is a medical physician assistant in Supply, NC. HOLDEN BEACH MEDICAL CENTER PA NPI is 1770722118. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2930 HOLDEN BEACH RD SW
SUPPLY, NC
ZIP 28462-702
Phone: (910) 842-5991
Fax: (910) 842-5994

The provider's authorized official is Heather Marie Merrow .
The authorized official title is Owner/president and has the following contact phone number (910) 842-5991.

The enumeration date for this NPI number is 2/9/2009 and was last updated on 2/9/2009.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	152387	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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