Organization
SHALOM MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN CHUKWUNONSO MOZIE MD (MEDICAL DIRECTOR/PRESIDENT)
(731) 334-9011
Entity
Organization
Contact information
Practice address
1102 HENDERSON DR, JACKSONVILLE, NC 28540-5203
(731) 334-9011
(731) 288-1628
Mailing address
1102 HENDERSON DR, JACKSONVILLE, NC 28540-5203
(731) 334-9011
(731) 288-1628
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2010-01876
NC
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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