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Shoreview Medical Associates, Pllc
Specialist in Carolina Beach, North Carolina
NPI 1003879842

Shoreview Medical Associates, Pllc is a Specialist based in Carolina Beach, NC. Shoreview Medical Associates, Pllc practices in Carolina Beach, NC. The NPI Number for Shoreview Medical Associates, Pllc is 1003879842 and holds a License No. (North Carolina).

The current practice location address for Shoreview Medical Associates, Pllc is 1328 N Lake Park Blvd, Carolina Beach, NC and can be reached out via phone at 910-458-8867 and via fax at 910-458-8764.

Location: 1328 N Lake Park Blvd, Carolina Beach, NC, 28428-0317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003879842
Provider Name
Shoreview Medical Associates, Pllc
Credential
Provider Entity Type
Organization
Address
1328 N Lake Park Blvd, Carolina Beach, NC, 28428-0317
Phone Number
910-458-8867
Fax Number
910-458-8764
Provider Enumeration Date
04/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016AF 01 NC BLUE CROSS AND BLUE SHIEL
89016AF 05 NC
institution
Provider Business Practice Location Address Details
Address
1328 N Lake Park Blvd
City
Carolina Beach
State
North Carolina
Zip
28428-3945
Phone Number
910-458-8867
Fax Number
910-458-8764
person
Provider Business Mailing Address Details
Address
1328 N Lake Park Blvd
City
Carolina Beach
State
North Carolina
Zip
28428-3945
Phone Number
910-458-8867
Fax Number
910-458-8764
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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