Organization
BEACH MEDICAL CARE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES S WILKINSON MD (SECRETARY/TREASURER)
(252) 261-4187
Entity
Organization
Contact information
Practice address
5200 N CROATAN HWY, KITTY HAWK, NC 27949-3990
(252) 261-4187
(252) 261-5182
Mailing address
5200 N CROATAN HWY, KITTY HAWK, NC 27949-3990
(252) 261-4187
(252) 261-5182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25507
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8945082
—
NC
Enumeration date
12/11/2013
Last updated
12/11/2013
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