Organization
ATLANTIC HEALTH CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI C. NEWTON PHD (ADMINISTRATOR)
(910) 343-0300
Entity
Organization
Contact information
Practice address
1222 MEDICAL CENTER DR, WILMINGTON, NC 28401-7332
(910) 343-0300
Mailing address
PO BOX 15009, WILMINGTON, NC 28408-5009
(910) 343-0300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890187P
—
NC
Enumeration date
07/22/2008
Last updated
07/22/2008
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