# BEACH MEDICAL CARE, LTD.

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

## Provider details

- **NPI number:** 1861525404
- **Authorized official:** MR. JAMES S. WILKINSON X M.D. (PRESIDENT)
- **Authorized official phone:** (252) 261-4187

## Contact information

- **Practice address:** 4917 S CROATAN HWY, UNIT 1B, NAGS HEAD, NC 27959-8811
- **Practice address phone:** (252) 261-4187
- **Practice address fax:** (252) 261-5182
- **Mailing address:** PO BOX 2089, KITTY HAWK, NC 27949-2089
- **Mailing address phone:** (252) 261-4187
- **Mailing address fax:** (252) 261-5182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0190118 | NC | Yes |
| 261QU0200X | Urgent Care Clinic/Center | 29449 | NC | — |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 10/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 017CJ | BCBS URGENT CARE | NC |
| 01 | — | 01938 | BCBS FAMILY PRACTICE | NC |
| 05 | — | 8901938 | — | NC |