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Organization

BEACH CARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AVA MCPHERSON WHITE F.N.P.-C. (PRESIDENT)
(910) 328-4729
Entity
Organization

Contact information

Practice address
204 D NEW RIVER DRIVE, SURF CITY, NC 28445
(910) 328-4729
(910) 328-1942
Mailing address
PO BOX 2267, SURF CITY, NC 28445-9821
(910) 328-4729
(910) 328-1942

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200319
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000107
NC
Enumeration date
01/25/2007
Last updated
01/18/2008
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