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Organization
PELICAN FAMILY MEDICINE, P.A.
Active
Organization
PELICAN FAMILY MEDICINE, P.A.
Active
Parent organization
PELICAN FAMILY MEDICINE, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PELICAN FAMILY MEDICINE, P.A.
Authorized official
MARK SAMUEL THOMAS ARMITAGE MD (OWNER/PHYSICIAN)
(910) 792-1001
Entity
Organization
Contact information
Practice address
14057 US HIGHWAY 17 N STE 220, HAMPSTEAD, NC 28443-3779
(910) 821-1197
(910) 821-1187
Mailing address
14057 US HIGHWAY 17 N STE 220, HAMPSTEAD, NC 28443-3779
(910) 821-1197
(910) 821-1187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200101001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903907
—
NC
Enumeration date
05/13/2008
Last updated
10/07/2019
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