Organization
HAMPSTEAD MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHYAM LAL GARG M.D. (PRESIDENT)
(910) 270-2722
Entity
Organization
Contact information
Practice address
14980 US HIGHWAY 17 N, HAMPSTEAD, NC 28443-3390
(910) 270-0282
Mailing address
14980 US HIGHWAY 17 N, HAMPSTEAD, NC 28443-3390
(910) 270-0282
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
26415
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34555
BC BS OF NORTH CAROLINA
NC
05
—
8934555
—
NC
Enumeration date
01/04/2007
Last updated
08/22/2020
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