Organization
LONG BEACH FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE THOMAS HOLLAND M. D. (PHYSICIAN)
(910) 278-3500
Entity
Organization
Contact information
Practice address
4700 E OAK ISLAND DR, SUITE F, OAK ISLAND, NC 28465-5200
(910) 278-3500
(910) 278-7233
Mailing address
2006 ROBERT RUARK DR, S E, SOUTHPORT, NC 28461-2652
(910) 457-0595
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
0039512
NC
261QP2300X
Primary Care Clinic/Center
Primary
39512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207Q00000X
MEDICARE TAXOMONY
NC
05
—
8943093
—
NC
Enumeration date
01/18/2006
Last updated
08/25/2008
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