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Organization
CAROLINA PINES MEDICAL, PC
Active
Organization
CAROLINA PINES MEDICAL, PC
Active
Other names
Carolina Pines Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PATRICK SHUSKO M.D. (PRESIDENT)
(910) 347-5444
Entity
Organization
Contact information
Practice address
3215 HENDERSON DR, JACKSONVILLE, NC 28546-5251
(910) 347-5444
Mailing address
3215 HENDERSON DR, JACKSONVILLE, NC 28546-5251
(910) 347-5444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200301290
NC
261QM2500X
Medical Specialty Clinic/Center
200301290
NC
Other
Enumeration date
12/01/2008
Last updated
02/10/2009
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