Chicora Medical Group PA
NPI #1770552119 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1770552119
- Entity Type
- Organization
- Organization Name
- Chicora Medical Group PA
- Primary Specialty
- Internal Medicine - Pulmonary Disease
- Enumeration Date
- Mar 17, 2006
- Last Updated
- Dec 7, 2007
Practice Location
- Address
- 341-B WHITEVILLE RD
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470
- Phone
- (910) 754-8731
Authorized Official
- Name
- DR. BERNARD LEROY LANGSTON III, MD
- Title
- PRESIDENT
- Phone
- (910) 754-8731
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
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