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Act Medical Group Pa
General Practice Physician in Wilmington, North Carolina
NPI 1245219799

Act Medical Group Pa is a General Practice Physician based in Hampstead, NC. Act Medical Group Pa practices in Wilmington, NC. The NPI Number for Act Medical Group Pa is 1245219799 and holds a License No. 87550 (North Carolina).

The current practice location address for Act Medical Group Pa is 311-4E Judges Rd, Wilmington, NC and can be reached out via phone at 910-791-6767 and via fax at 910-791-6890.

Location: 311-4E Judges Rd, Wilmington, NC, 28443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245219799
Provider Name
Act Medical Group Pa
Credential
Provider Entity Type
Organization
Address
311-4E Judges Rd, Wilmington, NC, 28443
Phone Number
910-791-6767
Fax Number
910-791-6890
Provider Enumeration Date
01/12/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016UG 01 NC BCBSNC PRIMARY CARE ONLY
0706G 01 NC BCBSNC MENTAL HEALTH ONLY
890706G 05 NC
6005401 05 NC
CI3714 01 NC RAILROAD MEDICARE
20992 01 NC PIEDMONT BEHAVIORAL HEALT
E698 01 NC PARTNERS
institution
Provider Business Practice Location Address Details
Address
311-4E Judges Rd
City
Wilmington
State
North Carolina
Zip
28405-3655
Phone Number
910-791-6767
Fax Number
910-791-6890
person
Provider Business Mailing Address Details
Address
311-4E Judges Rd
City
Wilmington
State
North Carolina
Zip
28405-3655
Phone Number
910-791-6767
Fax Number
910-791-6890
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
87550 (North Carolina)
Definition
Definition to come...
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