# BEACH MEDICAL CARE, LTD.

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

## Provider details

- **NPI number:** 1821429259
- **Authorized official:** JAMES S WILKINSON MD (SECRETARY/TREASURER)
- **Authorized official phone:** (252) 261-4187

## Contact information

- **Practice address:** 5200 N CROATAN HWY, KITTY HAWK, NC 27949-3990
- **Practice address phone:** (252) 261-4187
- **Practice address fax:** (252) 261-5182
- **Mailing address:** 5200 N CROATAN HWY, KITTY HAWK, NC 27949-3990
- **Mailing address phone:** (252) 261-4187
- **Mailing address fax:** (252) 261-5182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25507 | NC | Yes |

## Other

- **Enumeration date:** 12/11/2013
- **Last updated:** 12/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8945082 | — | NC |