Onslow Oncology Practice Pc

LBN: Onslow Oncology Practice Pc
Onslow Oncology Practice Pc is an health care organization with primary practice located at 221 Memorial Drive , Jacksonville NC 28546-6333. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Onslow Oncology Practice Pc can be contacted via phone (910) 455-5511, or through Awomolo, Adesola via phone (910) 455-5511.

Contact Information

Primary practice address
221 Memorial Drive Jacksonville NC 28546-6333
Phone: (910) 455-5511
Fax: (910) 455-4919
Website:
Map and Directions
Authorized official contact:
Name: Awomolo, Adesola Doctor of Medicine (MD)
Phone: (910) 455-5511

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 200101004 North Carolina
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 200101004 North Carolina

Profile Details

NPI number 1124119052
LBN Legal business name Onslow Oncology Practice Pc
DBA Doing business as
Authorized official Awomolo, Adesola Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Feb 4th, 2010 - about 15 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 1124119052 NPPES
North Carolina Other 1292U BLUE CROSS & BLUE SHIELD
North Carolina Other 2292263C BLUE CROSS & BLUE SHIELD
North Carolina MEDICAID 891292U BLUE CROSS & BLUE SHIELD

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