Organization
BRUNSWICK OB-GYN, P.A.
Active
Other names
Brunswick OB/GYN, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN REGAN MD (PRESIDENT)
(910) 520-6730
Entity
Organization
Contact information
Practice address
116 DURHAM ST STE 205, SUPPLY, NC 28462-1909
(910) 755-5261
Mailing address
PO BOX 679, SUPPLY, NC 28462-0679
(910) 755-5261
(910) 755-5263
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256U
BCBS NC
NC
05
—
89014P1
—
NC
Enumeration date
08/24/2006
Last updated
01/03/2020
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