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Organization
BRUNSWICK FAMILY MEDICINE PA
Active
Organization
BRUNSWICK FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SLADE ALAN SUCHECKI D.O. (PRESIDENT)
(910) 454-4343
Entity
Organization
Contact information
Practice address
3960 EXECUTIVE PARK BLVD, UNIT 600, SOUTHPORT, NC 28461
(910) 454-4343
(910) 457-9209
Mailing address
3960 EXECUTIVE PARK BLVD, UNIT 600, SOUTHPORT, NC 28461
(910) 454-4343
(910) 457-9209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/19/2006
Last updated
09/25/2014
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