Healthcare Provider Details

I. General information

NPI: 1740320076
Provider Name (Legal Business Name): ONSLOW DOCTORS CARE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 WESTERN BLVD
JACKSONVILLE NC
28546-6341
US

IV. Provider business mailing address

325 WESTERN BLVD
JACKSONVILLE NC
28546-6341
US

V. Phone/Fax

Practice location:
  • Phone: 910-577-1555
  • Fax: 910-577-1841
Mailing address:
  • Phone: 910-577-1555
  • Fax: 910-577-1841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number16475
License Number StateNC

VIII. Authorized Official

Name: DR. WADE R TURLINGTON
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 910-577-1555