CHICORA MEDICAL GROUP PA

SHALLOTTE, NC
NPI1770552119
Entity TypeOrganization
Authorized ContactBERNARD LEROY LANGSTON
President
910-754-8731
Organization Subpart ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
Enumeration Date2006-03-17
Last Update Date2007-12-07
Business Address
CHICORA MEDICAL GROUP PA
341-B WHITEVILLE RD
SHALLOTTE, NC 28470
Phone number: 910-754-8731
Mailing Address
CHICORA MEDICAL GROUP PA
PO BOX 2528
SHALLOTTE, NC 28459
Phone number: 910-754-8731