Organization
UPPER MEDICINE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO BASEGODA MD (PRESIDENT)
(910) 207-0122
Entity
Organization
Contact information
Practice address
206 CAUSEWAY DR, WRIGHTSVILLE BEACH, NC 28480-2005
(910) 207-0122
Mailing address
PO BOX 1286, WRIGHTSVILLE BEACH, NC 28480-1286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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