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

Chicora Medical Group PA

Organization Family Medicine Physician · NPI 1881663227

Chicora Medical Group PA is a Family Medicine Physician in Supply, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Medical Campus Dr Ste 106B
Supply, NC 28462
Phone: (910) 754-8600
Fax: (910) 755-2364
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1881663227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernard Langston — President · (910) 754-8731
Other names Brunswick Speciality Services
NPI enumeratedMarch 17, 2006
Last updated in NPPESMarch 11, 2008
Mailing addressPo Box 2528, Shallotte, NC 28459

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