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

Southport Internal Medicine PA

Organization Internal Medicine Physician · NPI 1528365657

Southport Internal Medicine PA is an Internal Medicine Physician in Southport, 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?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1513 N Howe St Unit 6
Southport, NC 28461-2769
Phone: (910) 457-9127
Fax: (910) 269-2884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 33376 (NC)

Record details

NPI number1528365657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Hiltz — President · (910) 457-9127
NPI enumeratedFebruary 25, 2011
Last updated in NPPESJuly 6, 2011
Mailing addressPo Box 10922, Southport, NC 28461-0922

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