Organization
CHICORA MEDICAL GROUP PA
Active
Other names
Brunswick Speciality Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD LEROY LANGSTON III MD (PRESIDENT)
(910) 754-8731
Entity
Organization
Contact information
Practice address
20 MEDICAL CAMPUS DR, STE 106B, SUPPLY, NC 28462
(910) 754-8600
(910) 755-2364
Mailing address
PO BOX 2528, SHALLOTTE, NC 28459
(910) 754-8600
(910) 755-2364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900666
—
NC
Enumeration date
03/17/2006
Last updated
03/11/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us