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Organization
BEACH PRIMARY CARE AND WELLNESS PLLC
Active
Organization
BEACH PRIMARY CARE AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY RUDD CRICHTON DNP (FAMILY NURSE PRACTITIONER)
(910) 755-1200
Entity
Organization
Contact information
Practice address
863 OCEAN HWY W, SUPPLY, NC 28462-4059
(910) 995-7022
Mailing address
863 OCEAN HWY W, SUPPLY, NC 28462-4059
(910) 755-1200
(910) 755-1064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
05/19/2025
Last updated
03/26/2026
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