Organization
LONG BEACH FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORGAN A TODD M. D. (PHYSICIAN)
(910) 278-3500
Entity
Organization
Contact information
Practice address
4700 E OAK ISLAND DR, SUITE F, OAK ISLAND, NC 28465-5257
(910) 278-3500
(910) 278-7233
Mailing address
4700 E OAK ISLAND DR, SUITE F, OAK ISLAND, NC 28465-5257
(910) 278-3500
(910) 278-7233
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
200701097
NC
305R00000X
Preferred Provider Organization
Primary
200701097
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200701097
STATE LICENSE
NC
Enumeration date
09/15/2011
Last updated
09/15/2011
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