# BRUNSWICK OB-GYN, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brunswick OB/GYN, P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629185905
- **Authorized official:** OWEN REGAN MD (PRESIDENT)
- **Authorized official phone:** (910) 520-6730

## Contact information

- **Practice address:** 116 DURHAM ST STE 205, SUPPLY, NC 28462-1909
- **Practice address phone:** (910) 755-5261
- **Mailing address:** PO BOX 679, SUPPLY, NC 28462-0679
- **Mailing address phone:** (910) 755-5261
- **Mailing address fax:** (910) 755-5263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NC | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 01/03/2020