Organization
SEACORE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DAX HAWKINS MD (MEDICAL DIRECTOR)
(910) 796-8600
Entity
Organization
Contact information
Practice address
1717 SHIPYARD BLVD STE 140, WILMINGTON, NC 28403-8019
(910) 796-8600
Mailing address
1717 SHIPYARD BLVD STE 140, WILMINGTON, NC 28403-8019
(910) 796-8600
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
06/03/2020
Last updated
07/16/2020
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