Onslow Oncology Practice PC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Jacksonville, NC
NPI 1124119052 · NPPES record last updated Feb 4, 2010
Key facts
- NPI
- 1124119052
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 200101004 (NC)
- Legal business name
- ONSLOW ONCOLOGY PRACTICE PC
- Practice address
- 221 Memorial Drive
Jacksonville, NC 28546-6333 - Phone
- (910) 455-5511
- Fax
- (910) 455-4919
- NPI assigned
- Sep 27, 2006
- Reactivated
- Aug 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Adesola Awomolo, MD
- Title
- Physician
- Phone
- (910) 455-5511
Practitioners 3
-
Adesola Awomolo, MD
-
Susan Lynn Woodruff, ADULT NURSE PRACTITI
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 200101004 | NC | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 200101004 | NC | Yes |
Addresses
Primary practice location
221 Memorial Drive
Jacksonville, NC 28546-6333
Mailing address
PO Box 12234
Jacksonville, NC 28546-2234
Phone (910) 455-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1292U | Other | NC | BLUE CROSS & BLUE SHIELD |
| 2292263C | Other | NC | INDIVIDUAL MEDICARE PIN |
| 891292U | Medicaid | NC |
Other providers in Jacksonville, NC
- Onslow Health Associates PLLC
- Onslow Medical Specialties Clinic, PC
- Onslow Memorial Hospital Inc
- Onslow Memorial Hospital, Inc.
- Onslow Memorial Hospital, Inc.
- Onslow Ophthalmology, PA
- Onslow Pediatric Associates, P.a.
- Onslow Pines Rest Home
- Onslow Radiation Oncology LLC
- Onslow Sleep Clinic, LLC
All providers in Jacksonville, NC · Durable Medical Equipment & Medical Supplies 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 Feb 4, 2010. 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.