Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Other names
PELICAN FAMILY MEDICINE - CAROLINA BEACH
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M BOUNDS (CEO)
(910) 267-1237
Entity
Organization
Contact information
Practice address
4833 CAROLINA BEACH RD STE 106, WILMINGTON, NC 28412-2370
(910) 332-7900
(910) 500-7469
Mailing address
PO BOX 187, FAISON, NC 28341-0187
(910) 267-2042
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
10/06/2021
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