Organization · Type 2 NPI
Brunswick Gericare
Primary Care Clinic/Center · Shallotte, NC
NPI number
1558575415
Active
Practice location
460 Holden Beach Rd
Shallotte, NC 28470-1711
Mailing address
PO Box 1589
Shallotte, NC 28459-1589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 0808354 (NC) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Shallotte
About NPI 1558575415
Brunswick Gericare's National Provider Identifier is 1558575415, issued on May 10, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Shallotte, NC. The record was last updated on Jun 20, 2012.