# ATLANTIC INTERNAL MEDICINE PA

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

## Provider details

- **NPI number:** 1982621546
- **Authorized official:** RICHARD D. CRANE M.D. (PRESIDENT)
- **Authorized official phone:** (910) 754-8921

## Contact information

- **Practice address:** 16 MEDICAL CENTER DR, SUPPLY, NC 28462-3350
- **Practice address phone:** (910) 754-8921
- **Practice address fax:** (910) 754-7140
- **Mailing address:** 16 MEDICAL CENTER DR, SUPPLY, NC 28462-3350
- **Mailing address phone:** (910) 754-8921
- **Mailing address fax:** (910) 754-7140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 03/13/2026