Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boiling Spring Lakes Family Medicine, PC

Organization Family Medicine Physician · NPI 1730275090

Boiling Spring Lakes Family Medicine, PC is a Family Medicine Physician in Southport, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3599 George Ii Hwy
Southport, NC 28461-7793
Phone: (910) 845-3244
Fax: (910) 845-3276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (NC)

Record details

NPI number1730275090
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Domenic Palagruto — Owner · (910) 845-3244
NPI enumeratedOctober 5, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3599 George Ii Hwy, Southport, NC 28461-7793

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