Medac Health Services, Pa in Wilmington - General Practice
Medac Health Services, Pa - NPI 1578746236
Medac Health Services, Pa is a General Practice in Wilmington, North Carolina. Medac Health Services, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Medac Health Services, Pa is 1578746236. The last update date is 2013-06-10.
Medac Health Services, Pa's current location address is 4402 Shipyard Blvd, Wilmington, North Carolina. You can contact this provider via phone number 9104521400 and fax number 9103321072. The mailing address for Medac Health Services, Pa is 4402 Shipyard Blvd, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medac Health Services, Pa |
|---|---|
| Address | 4402 Shipyard Blvd, Wilmington, North Carolina |
| Phone Number | 9104521400 |
| Fax Number | 9103321072 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Moulton Paul Michael |
| Credentials | M.D. |
| Telephone Number | 9104521400 |
NPI Number Detail
| NPI Number | 1578746236 |
|---|---|
| Provider Enumeration Date | 2007-12-17 |
| Last Updated Date | 2013-06-10 |
Provider Mailing Address Detail
| Address | 4402 Shipyard Blvd |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284036161 |
| Phone Number | 9104521400 |
| Fax Number | 9103321072 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 15811 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CC2877 | NC | RAILROAD MEDICARE | |
| 7651 | NC | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Medac Health Services, Pa by the Centers for Medicare & Medicaid Services?
The Medac Health Services, Pa has been assigned the NPI (National Provider Identifier) 1578746236 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Medac Health Services, Pa is physically located?
The Medac Health Services, Pa is situated at the following address: 4402 Shipyard Blvd, Wilmington, NC 284036161.
What is Medac Health Services, Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Medac Health Services, Pa is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578746236 to Medac Health Services, Pa?
The Centers for Medicare & Medicaid Services assigned the 1578746236 to Medac Health Services, Pa on 2007-12-17.
As of what date were the details pertaining to Medac Health Services, Pa last refreshed?
The information related to the Medac Health Services, Pa, including its address, specialty, and other relevant details, was last updated on 2013-06-10.