# CROATAN FAMILY MEDICINE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053167734
- **Authorized official:** DR. JENNIFER NEEDS DEMARTINO HARRISON D.O. (PRESIDENT)
- **Authorized official phone:** (954) 873-7044

## Contact information

- **Practice address:** 2917 S CROATAN HWY, NAGS HEAD, NC 27959-9027
- **Practice address phone:** (954) 873-7044
- **Mailing address:** PO BOX 1776, NAGS HEAD, NC 27959-1776
- **Mailing address phone:** (252) 423-4300
- **Mailing address fax:** (252) 862-2684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2024
- **Last updated:** 08/14/2024