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Organization
SWANSBORO MEDICAL CENTER, PA
Active
Organization
SWANSBORO MEDICAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS MICHAEL MAHAN M.D. (CLINIC DIRECTOR)
(910) 326-5588
Entity
Organization
Contact information
Practice address
718 W CORBETT AVE, SWANSBORO, NC 28584-8452
(910) 326-5588
(910) 326-6923
Mailing address
718 W CORBETT AVE, SWANSBORO, NC 28584-8452
(910) 326-5588
(910) 326-6923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66693
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130R
BCBSNC
NC
01
—
2804615
CIGNA MEDICARE
NC
05
—
343972A
—
NC
01
—
E0124
MEDCOST
NC
Enumeration date
02/27/2007
Last updated
08/22/2020
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