Organization
ACT MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERINN M BEEKMAN (PRESIDENT)
(910) 791-6767
Entity
Organization
Contact information
Practice address
311-4E JUDGES RD, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 791-6890
Mailing address
PO BOX 696, HAMPSTEAD, NC 28443
(910) 791-6767
(910) 791-6890
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
87550
NC
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016UG
BCBSNC PRIMARY CARE ONLY
NC
01
—
0706G
BCBSNC MENTAL HEALTH ONLY
NC
01
—
20992
PIEDMONT BEHAVIORAL HEALT
NC
05
—
6005401
—
NC
05
—
890706G
—
NC
01
—
CI3714
RAILROAD MEDICARE
NC
01
—
E698
PARTNERS
NC
Enumeration date
01/12/2006
Last updated
12/20/2013
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