Southport Internal Medicine Pa is a Internal Medicine Physician based in Southport, NC. Southport Internal Medicine Pa practices in Southport, NC. The NPI Number for Southport Internal Medicine Pa is 1528365657 and holds a License No. 33376 (North Carolina).
The current practice location address for Southport Internal Medicine Pa is 1513 N Howe St, Southport, NC and can be reached out via phone at 910-457-9127 and via fax at 910-269-2884.
Identifier | Type | State | Issuer |
---|---|---|---|
C201101100100-1 | 01 | NC | DEPT OF THE SECRETARY OF STATE CERTIFICATION NUMBER |
34D0246020 | 01 | NC | CLIA WAIVED CERTIFICATE |
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