Organization
CAROLINA PINES MEDICAL, PC
Active
Other names
Carolina Pines Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PATRICK SHUSKO M.D. (PRESIDENT)
(910) 347-5444
Entity
Organization
Contact information
Practice address
3215 HENDERSON DR, JACKSONVILLE, NC 28546-5251
(910) 347-5444
Mailing address
3215 HENDERSON DR, JACKSONVILLE, NC 28546-5251
(910) 347-5444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200301290
NC
261QM2500X
Medical Specialty Clinic/Center
200301290
NC
Other
Enumeration date
12/01/2008
Last updated
02/10/2009
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