CHICORA MEDICAL GROUP PA

SUPPLY, NC
NPI1881663227
Doing Business AsBRUNSWICK SPECIALITY SERVICES
Entity TypeOrganization
Authorized ContactBERNARD LEROY LANGSTON
President
910-754-8731
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-03-17
Last Update Date2008-03-11
Business Address
CHICORA MEDICAL GROUP PA
20 MEDICAL CAMPUS DR STE 106B
SUPPLY, NC 28462
Phone number: 910-754-8600
Mailing Address
CHICORA MEDICAL GROUP PA
PO BOX 2528
SHALLOTTE, NC 28459
Phone number: 910-754-8600