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Organization

SEASIDE PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDGAR O HORGER MD (PRESIDENT)
(910) 452-1999
Entity
Organization

Contact information

Practice address
1606 WELLINGTON AVE, SUITE E, WILMINGTON, NC 28401-7747
(910) 452-1999
(910) 452-1883
Mailing address
1606 WELLINGTON AVE, SUITE E, WILMINGTON, NC 28401-7747
(910) 452-1999
(910) 452-1883

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8943705
NC
Enumeration date
01/05/2009
Last updated
01/11/2012
Update your record

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