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Organization
SHALLOTTE MEDICAL CENTER INC
Active
Organization
SHALLOTTE MEDICAL CENTER INC
Active
Other names
Seaside Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD LEROY LANGSTON III MD (PRESIDENT)
(910) 754-8731
Entity
Organization
Contact information
Practice address
710 SUNSET BLVD N, SUNSET BEACH, NC 28468-4340
(910) 575-3923
(910) 575-3926
Mailing address
PO BOX 7237, SEASIDE MEDICAL CENTER, SO BRUNSWICK, NC 28470
(910) 575-3923
(910) 575-3926
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348912A
—
NC
Enumeration date
03/17/2006
Last updated
02/05/2008
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