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General NPI Number Information
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NPI Number | 1881848547
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Entity Type | Organization
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Legal Business Name | PORT CITY MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 1612 DOCTOR CIRCLE
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City | WILMINGTON
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State | NC
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Zip | 28401
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Country | US
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Telephone | 910-762-1190
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Fax | 910-762-1196
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Provider Business Mailing Address
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Address Line | 1612 DOCTOR CIRCLE
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City | WILMINGTON
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State | NC
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Zip | 28401
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Country | US
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Telephone | 910-762-1190
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Fax | 910-762-1196
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. WILLIAM LAWRENCE JOYNER
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Credential | MD
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Telephone | 910-762-1190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9501564
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License Number State | NC
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