Organization
BEACH MEDICAL CARE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES S. WILKINSON X M.D. (PRESIDENT)
(252) 261-4187
Entity
Organization
Contact information
Practice address
4917 S CROATAN HWY, UNIT 1B, NAGS HEAD, NC 27959-8811
(252) 261-4187
(252) 261-5182
Mailing address
PO BOX 2089, KITTY HAWK, NC 27949-2089
(252) 261-4187
(252) 261-5182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0190118
NC
261QU0200X
Urgent Care Clinic/Center
29449
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017CJ
BCBS URGENT CARE
NC
01
—
01938
BCBS FAMILY PRACTICE
NC
05
—
8901938
—
NC
Enumeration date
03/13/2007
Last updated
10/28/2016
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