Organization
DAWSON STREET URGENT CARE &MEDICAL CENTER,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD C DEMAS MD (OWNER)
(910) 343-3349
Entity
Organization
Contact information
Practice address
608 DAWSON ST, SUITE 101, WILMINGTON, NC 28401-5712
(910) 667-0470
(910) 667-0475
Mailing address
305 S 3RD ST, WILMINGTON, NC 28401-4506
(910) 343-3349
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2335627
MEDICARE GROUP PIN
NC
01
—
28322
BCBS
NC
05
—
5907985
—
NC
Enumeration date
08/13/2007
Last updated
04/03/2008
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