Organization
MASONBORO FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN CARTER (BILLING OFFICE)
(910) 790-3660
Entity
Organization
Contact information
Practice address
6419 CAROLINA BEACH ROAD, SUITE A, WILMINGTON, NC 28412-2788
(910) 790-3660
Mailing address
6419 CAROLINA BEACH ROAD, SUITE A, WILMINGTON, NC 28412-2788
(910) 790-3660
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015C3
—
NC
01
—
051C3
BCBS
NC
01
—
10892
BCBS NC
NC
01
—
18265
BCBS
NC
01
—
61634
BCBS
NC
01
—
87545
BCBS
NC
05
—
8910892
—
NC
05
—
8961634
—
NC
Enumeration date
12/13/2006
Last updated
01/03/2011
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