Shipyard Medical Center in Wilmington - Physician Assistant
Shipyard Medical Center - NPI 1609918937
Shipyard Medical Center is a Physician Assistant in Wilmington, North Carolina. Shipyard Medical Center practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shipyard Medical Center is 1609918937. The last update date is 2020-08-22.
Shipyard Medical Center's current location address is 2632 Carolina Beach Rd, Wilmington, North Carolina. You can contact this provider via phone number 9199310490 and fax number 9107961177. The mailing address for Shipyard Medical Center is 2632 Carolina Beach Rd, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shipyard Medical Center |
|---|---|
| Address | 2632 Carolina Beach Rd, Wilmington, North Carolina |
| Phone Number | 9199310490 |
| Fax Number | 9107961177 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Mackie G. Betty |
| Telephone Number | 9199310490 |
NPI Number Detail
| NPI Number | 1609918937 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2632 Carolina Beach Rd |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284121806 |
| Phone Number | 9199310490 |
| Fax Number | 9107961177 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | NC 102817 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Shipyard Medical Center by the Centers for Medicare & Medicaid Services?
The Shipyard Medical Center has been issued the NPI (National Provider Identifier) 1609918937 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Shipyard Medical Center's physical address?
The Shipyard Medical Center is physically located at 2632 Carolina Beach Rd, in the city of Wilmington, NC, with the postal code 284121806.
What is the area of specialization for Shipyard Medical Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shipyard Medical Center is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609918937 to Shipyard Medical Center?
The Centers for Medicare & Medicaid Services originally issued the 1609918937 to Shipyard Medical Center on 2007-02-13.
As of what date were the details pertaining to Shipyard Medical Center last refreshed?
The information related to the Shipyard Medical Center, including its address, specialty, and other relevant details, was last updated on 2020-08-22.