Lake Waccamaw Primary Care, Pllc
NPI #1477795821 in Lake Waccamaw, North Carolina
Provider Information
- NPI Number
- 1477795821
- Entity Type
- Organization
- Organization Name
- Lake Waccamaw Primary Care, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 1, 2009
- Last Updated
- Apr 1, 2009
Practice Location
- Address
- 107 CHURCH ST
- City
- Lake Waccamaw
- State
- North Carolina
- ZIP Code
- 28450-1908
- Phone
- (910) 646-6617
Authorized Official
- Name
- AMY G GAWEDA, FNP
- Title
- PRESIDENT
- Phone
- (910) 646-6617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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