Organization
OUTER BANKS FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA C. AUSTIN M.D. (PHYSICIAN)
(252) 441-5038
Entity
Organization
Contact information
Practice address
2522 S CROATAN HWY, SUITE 1-B, NAGS HEAD, NC 27959-8809
(252) 441-5038
(252) 441-5216
Mailing address
2522 S CROATAN HWY, SUITE 1-B, NAGS HEAD, NC 27959-8809
(252) 441-5038
(252) 441-5216
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
9601219
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1080U
BLUE CROSS BLUE SHIELD
NC
05
—
891080U
—
NC
Enumeration date
02/03/2012
Last updated
02/03/2012
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