Lake Waccamaw Primary Care, PLLC
Lake Waccamaw Primary Care, PLLC is a Family Medicine Physician in Lake Waccamaw, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.
- Licensed in
- NC
- In the registry since
- 2009
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
107 Church StLake Waccamaw, NC 28450-1908
Phone: (910) 646-6617
Fax: (910) 646-6620
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 92226 (NC) |
|---|
Record details
| NPI number | 1477795821 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amy Gaweda — President · (910) 646-6617 |
| NPI enumerated | April 1, 2009 |
| Last updated in NPPES | April 1, 2009 |
| Mailing address | 121 Bretonshire Rd, Wilmington, NC 28405-4001 |