Brunswick Urgent Care
Organization Active NPI Family Medicine Physician · Leland, NC
NPI 1124057740 · NPPES record last updated Nov 13, 2008
Key facts
- NPI
- 1124057740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BRUNSWICK URGENT CARE
- Practice address
- 509 Olde Waterford Way
Suite 101
Leland, NC 28451 - Phone
- (910) 383-2182
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
Authorized official
- Name
- John Azzato, MD
- Title
- President
- Phone
- (910) 383-2182
National Provider Directory
Locations
509 Olde Waterford Way
Ste 101
Leland, NC 28451
Phone (910) 210-0656
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
509 Olde Waterford Way
Suite 101
Leland, NC 28451
Mailing address
PO Box 601790
Charlotte, NC 28260-1790
Phone (910) 383-2182
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902466 | Medicaid | NC | |
| DF1254 | Other | NC | MEDICARE RR |
Other providers in Leland, NC
- Kaitlyn Marie Brannin
- Thomas J Braza
- Meghan Luisa Dalziel Brooks
- Kelly M Broussard
- Brunswick Surgery Center LLC
- Eric Christopher Bryant
- James M Buchanan Jr.
- Kelli Lee Buell
- Mary Elizabeth Burgoyne
- Teal Thayer Busteed
All providers in Leland, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.