MEDICARE: HAMPSTEAD INTERNAL MEDICINE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1396443024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMPSTEAD INTERNAL MEDICINE PA

Provider Business Mailing Address
First Line	:	16747 US HIGHWAY 17 STE 124
Second Line	:
City	:	HAMPSTEAD
State	:	NC
Zip	:	28443-3086
Country	:	US
Telephone Number	:	910-230-5661
Fax Number	:

Provider Business Practice Location Address
First Line	:	16747 US HIGHWAY 17
Second Line	:
City	:	HAMPSTEAD
State	:	NC
Zip	:	28443-3695
Country	:	US
Telephone Number	:	252-944-3725
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES R MANNING III
Credential	:	MD
Telephone Number	:	910-230-5661

Provider Enumeration Date	:	02/22/2023
Last Update Date	:	06/04/2026

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Directions to “HAMPSTEAD INTERNAL MEDICINE PA ” Practice Location

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