Organization
CRYSTAL RIVER PSYCHIATRIC, GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HARVEY WEINSTEIN M.D. (OWNER)
(910) 799-2283
Entity
Organization
Contact information
Practice address
2595 S 17TH ST, WILMINGTON, NC 28401-7748
(910) 799-2283
(910) 791-9227
Mailing address
2595 S 17TH ST, WILMINGTON, NC 28401-7748
(910) 799-2283
(910) 791-9227
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
104694
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014J9
BCBS NC GROUP #
NC
01
—
201516C
WEINSTEINS MEDICARE PIN
NC
01
—
6107129
F.RHETT SARAVIA MEDICAID
NC
01
—
86321
WEINSTEINS BCBS NC
NC
01
—
8986321
WEINSTEINS MEDICAID
NC
Enumeration date
03/07/2007
Last updated
08/22/2020
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