CHICORA MEDICAL GROUP PA NPI 1881663227

NPI Information

CHICORA MEDICAL GROUP PA is a family medicine in Supply, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHICORA MEDICAL GROUP PA NPI is 1881663227. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Brunswick Speciality Services.

The provider's business location address is:

20 MEDICAL CAMPUS DR
STE 106B
SUPPLY, NC
ZIP 28462
Phone: (910) 754-8600
Fax: (910) 755-2364

The provider's authorized official is Bernard Leroy Langston .
The authorized official title is President and has the following contact phone number (910) 754-8731.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 3/11/2008.

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

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