Organization
ATLANTIC INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D. CRANE M.D. (PRESIDENT)
(910) 754-8921
Entity
Organization
Contact information
Practice address
16 MEDICAL CENTER DR, SUPPLY, NC 28462-3350
(910) 754-8921
(910) 754-7140
Mailing address
16 MEDICAL CENTER DR, SUPPLY, NC 28462-3350
(910) 754-8921
(910) 754-7140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013FE
BCBS
NC
05
—
79013FE
—
NC
Enumeration date
07/17/2006
Last updated
03/13/2026
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