Organization
J ARTHUR DOSHER MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J PORTER (CFO)
(910) 457-3800
Entity
Organization
Contact information
Practice address
906 N HOWE STREET, SOUTHPORT, NC 28461-2846
(910) 457-3808
(910) 457-3808
Mailing address
924 N HOWE ST, SOUTHPORT, NC 28461-3038
(910) 457-3808
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568887818
UHC
—
Enumeration date
06/23/2017
Last updated
06/23/2017
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