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Organization
MED CARE OF NORTH CAROLINA PLLC
Active
Organization
MED CARE OF NORTH CAROLINA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KASTNER MD (OWNER MD)
(910) 392-7806
Entity
Organization
Contact information
Practice address
1899 N MARINE BLVD, JACKSONVILLE, NC 28546-6555
(910) 347-1515
Mailing address
5245 S COLLEGE RD, WILMINGTON, NC 28412-2209
(910) 392-7806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011X4
—
NC
01
—
CH6587
RAILROAD MEDICARE
NC
Enumeration date
09/15/2006
Last updated
01/04/2010
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