Shalom Medical Pc

LBN: Shalom Medical Pc
Shalom Medical Pc is an health care organization with primary practice located at 1102 Henderson Dr , Jacksonville NC 28540-5203. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Shalom Medical Pc can be contacted via phone (731) 334-9011, or through Mozie, Benjamin Chukwunonso via phone (731) 334-9011.

Contact Information

Primary practice address
1102 Henderson Dr Jacksonville NC 28540-5203
Fax: (731) 288-1628
Website:
Authorized official contact:
Name: Mozie, Benjamin Chukwunonso Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 2010-01876 North Carolina

Profile Details

NPI number 1467759985
LBN Legal business name Shalom Medical Pc
DBA Doing business as
Authorized official Mozie, Benjamin Chukwunonso Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2011
Last updated Feb 18th, 2011 - about 13 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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