Organization
BRUNSWICK URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN AZZATO MD (PRESIDENT)
(910) 383-2182
Entity
Organization
Contact information
Practice address
509 OLDE WATERFORD WAY, SUITE 101, LELAND, NC 28451
(910) 383-2182
Mailing address
PO BOX 601790, CHARLOTTE, NC 28260-1790
(910) 383-2182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902466
—
NC
01
—
DF1254
MEDICARE RR
NC
Enumeration date
07/03/2006
Last updated
11/13/2008
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