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

Shalom Medical PC

Organization Primary Care Clinic/Center · NPI 1467759985

Shalom Medical PC is a Primary Care Clinic/Center in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
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

1102 Henderson Dr
Jacksonville, NC 28540-5203
Phone: (731) 334-9011
Fax: (731) 288-1628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 2010-01876 (NC)

Record details

NPI number1467759985
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Mozie — Medical Director/President · (731) 334-9011
NPI enumeratedFebruary 18, 2011
Last updated in NPPESFebruary 18, 2011
Mailing address1102 Henderson Dr, Jacksonville, NC 28540-5203

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