SOUTHPORT INTERNAL MEDICINE PA

SOUTHPORT, NC
NPI1528365657
Entity TypeOrganization
Authorized ContactDOUGLAS K HILTZ
President
910-457-9127
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NC  33376)
Enumeration Date2011-02-25
Last Update Date2011-07-06
Business Address
SOUTHPORT INTERNAL MEDICINE PA
1513 N HOWE ST UNIT 6
SOUTHPORT, NC 28461-2769
Phone number: 910-457-9127
Mailing Address
SOUTHPORT INTERNAL MEDICINE PA
PO BOX 10922
SOUTHPORT, NC 28461-0922
Phone number: 910-457-9127
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