Brunswick Surgical Associates, Pllc

LBN: Brunswick Surgical Associates, Pllc
Brunswick Surgical Associates, Pllc is an health care organization with primary practice located at 6 Doctors Cir Suite 1, Supply NC 28462-4089. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Brunswick Surgical Associates, Pllc can be contacted via phone (910) 575-4606, or through Tillotson, Mark via phone (910) 575-4606.

Contact Information

Primary practice address
6 Doctors Cir Suite 1 Supply NC 28462-4089
Phone: (910) 575-4606
Fax: (910) 575-4609
Website:
Map and Directions
Authorized official contact:
Name: Tillotson, Mark Doctor of Medicine (MD)
Phone: (910) 575-4606

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 103114 North Carolina

Profile Details

NPI number 1144206822
LBN Legal business name Brunswick Surgical Associates, Pllc
DBA Doing business as
Authorized official Tillotson, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144206822 NPPES
North Carolina MEDICAID 89015K7

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