# MED CARE OF NORTH CAROLINA PLLC

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

## Provider details

- **NPI number:** 1366548836
- **Authorized official:** DR. ROBERT KASTNER MD (OWNER MD)
- **Authorized official phone:** (910) 392-7806

## Contact information

- **Practice address:** 1899 N MARINE BLVD, JACKSONVILLE, NC 28546-6555
- **Practice address phone:** (910) 347-1515
- **Mailing address:** 5245 S COLLEGE RD, WILMINGTON, NC 28412-2209
- **Mailing address phone:** (910) 392-7806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 01/04/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89011X4 | — | NC |
| 01 | — | CH6587 | RAILROAD MEDICARE | NC |