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BRUNSWICK GERICARE PC NPI 1174658371


NPI Information

NPI: 1174658371
Provider Name: BRUNSWICK GERICARE PC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 34D2041434

Address:
602 THOMASBORO ROAD
CALABASH, NC
ZIP 28467
Phone: (910) 579-3470
Get Directions

BRUNSWICK GERICARE PC is a geriatric medicine family medicine in Calabash, NC. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. BRUNSWICK GERICARE PC NPI is 1174658371. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

602 THOMASBORO ROAD
CALABASH, NC
ZIP 28467-820
Phone: (910) 579-3470
Fax: (910) 755-8988

The provider's authorized official is George Lacruise Saunders .
The authorized official title is Owner and has the following contact phone number (910) 579-3470.

The CLIA number assigned to this NPI record is 34D2041434 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 5/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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