Organization
MED CARE OF NORTH CAROLINA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J KASTNER MD (PRESIDENT)
(910) 392-7806
Entity
Organization
Contact information
Practice address
5245 S COLLEGE RD, WILMINGTON, NC 28412-2209
(910) 392-7806
(910) 392-2428
Mailing address
5245 S COLLEGE RD, WILMINGTON, NC 28412-2209
(910) 392-7806
(910) 392-2428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011X4
—
NC
01
—
CH6587
RAILROAD MEDICARE
NC
Enumeration date
07/08/2006
Last updated
01/04/2010
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