Organization
SEASIDE INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA L CHRISTIANSEN MD (OWNER MEDICAL DIRECTOR)
(910) 458-5750
Entity
Organization
Contact information
Practice address
1328 N LAKE PARK BLVD, SUITE 106, CAROLINA BEACH, NC 28428-3945
(910) 458-5750
(910) 458-5770
Mailing address
PO BOX 311, CAROLINA BEACH, NC 28428-0311
(910) 458-5750
(910) 458-5770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138XP
BCBS
NC
05
—
5900288
—
NC
Enumeration date
04/24/2006
Last updated
08/22/2020
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