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Contact Information

ATLANTIC FETAL MEDICINE PA
411 WESTERN BLVD STE C
JACKSONVILLE, NC28546-6822
 Phone: 910-346-1199
 Fax: 910-346-2551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ATLANTIC FETAL MEDICINE PA · (Female)

NPI # 1609926294
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 87734
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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