MYMD PERSONAL FAMILY CARE PLLC NPI 1871119818

NPI Information

  • NPI: 1871119818
  • Provider Name: MYMD PERSONAL FAMILY CARE, PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 34D2189740
  • Address: 110 W WOOD HILL DR UNIT 108
    NAGS HEAD, NC
    ZIP 27959
  • Phone: (252) 489-9574

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NPI Details

MYMD PERSONAL FAMILY CARE, PLLC is a primary care clinic center in Nags Head, NC. MYMD PERSONAL FAMILY CARE, PLLC NPI is 1871119818. The provider is registered as an organization entity type.

The provider's business location address is:

110 W WOOD HILL DR UNIT 108
NAGS HEAD, NC
ZIP 27959-394
Phone: (252) 489-9574
Fax: (252) 457-2250

The provider's authorized official is Jennifer Daugherty Halloran .
The authorized official title is Owner and has the following contact phone number (252) 489-9574.

The CLIA number assigned to this NPI record is 34D2189740 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2020 and was last updated on 6/24/2020.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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