# SNOWY MOUNTAIN MANAGEMENT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SNOWY MOUNTAIN MANAGEMENT PLLC
- **Other names:** Shipyard Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306050588
- **Legal business name:** SNOWY MOUNTAIN MANAGEMENT PLLC
- **Authorized official:** MR. CHRIS DONOVIN PA-C (OWNER)
- **Authorized official phone:** (919) 931-0490

## Contact information

- **Practice address:** 2632 CAROLINA BEACH RD, WILMINGTON, NC 28412-1806
- **Practice address phone:** (910) 409-0922
- **Mailing address:** 2632 CAROLINA BEACH RD, WILMINGTON, NC 28412-1806
- **Mailing address phone:** (910) 794-3939
- **Mailing address fax:** (910) 794-3938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | NC102817 | NC | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 09/25/2007