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Organization
CALABASH MEDICAL CENTER,PA
Active
Organization
CALABASH MEDICAL CENTER,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY GORE WARD (INS BILLING/COLLECTIONS)
(843) 756-5300
Entity
Organization
Contact information
Practice address
10081 BEACH DR SW, CALABASH, NC 28467-2713
(800) 579-7971
(910) 579-2407
Mailing address
3439 CASEY ST, LORIS, SC 29569-2903
(800) 579-7971
(910) 579-2407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343935A
NC MEDICAID CAROLINA ACCESS
NC
05
—
5950176
—
NC
01
—
CA9979
RAILROAD MEDICARE
NC
05
—
NPA648
—
SC
01
—
RCH006
SC MEDICAID
SC
Enumeration date
08/01/2005
Last updated
07/21/2022
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