Organization
SNOWY MOUNTAIN MANAGEMENT PLLC
Active
Parent organization
SNOWY MOUNTAIN MANAGEMENT PLLC
Other names
Shipyard Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SNOWY MOUNTAIN MANAGEMENT PLLC
Authorized official
MR. CHRIS DONOVIN PA-C (OWNER)
(919) 931-0490
Entity
Organization
Contact information
Practice address
2632 CAROLINA BEACH RD, WILMINGTON, NC 28412-1806
(910) 409-0922
Mailing address
2632 CAROLINA BEACH RD, WILMINGTON, NC 28412-1806
(910) 794-3939
(910) 794-3938
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
NC102817
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906809
—
NC
Enumeration date
05/09/2007
Last updated
09/25/2007
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