Organization
MIDWAY MEDICAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E KINTER M. D. (PRESIDENT)
(828) 627-2211
Entity
Organization
Contact information
Practice address
6750 CAROLINA BLVD, CLYDE, NC 28721
(828) 627-2211
(855) 876-9354
Mailing address
6750 CAROLINA BLVD, CLYDE, NC 28721
(828) 627-2211
(855) 876-9354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62447
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900304
—
NC
05
—
890216T
—
NC
Enumeration date
05/18/2006
Last updated
08/01/2024
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