Organization
BEACH PRIMARY CARE AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY RUDD CRICHTON DNP (FAMILY NURSE PRACTITIONER)
(910) 755-1200
Entity
Organization
Contact information
Practice address
863 OCEAN HWY W, SUPPLY, NC 28462-4059
(910) 995-7022
Mailing address
863 OCEAN HWY W, SUPPLY, NC 28462-4059
(910) 755-1200
(910) 755-1064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/19/2025
Last updated
03/26/2026
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