# LONG BEACH FAMILY MEDICAL CENTER

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

## Provider details

- **NPI number:** 1295715076
- **Authorized official:** DR. GEORGE THOMAS HOLLAND M. D. (PHYSICIAN)
- **Authorized official phone:** (910) 278-3500

## Contact information

- **Practice address:** 4700 E OAK ISLAND DR, SUITE F, OAK ISLAND, NC 28465-5200
- **Practice address phone:** (910) 278-3500
- **Practice address fax:** (910) 278-7233
- **Mailing address:** 2006 ROBERT RUARK DR, S E, SOUTHPORT, NC 28461-2652
- **Mailing address phone:** (910) 457-0595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 0039512 | NC | — |
| 261QP2300X | Primary Care Clinic/Center | 39512 | NC | Yes |

## Other

- **Enumeration date:** 01/18/2006
- **Last updated:** 08/25/2008