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NPI Code Detail

MEDICARE: KIRA MARK ALATAR MD

MEDICARE: KIRA MARK ALATAR MD
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
1207Q00000XFamily Medicine Physician9800763NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740274844
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRA MARK ALATAR MD
Provider Business Mailing Address
First Line : 1202 MEDICAL CENTER DR
Second Line : ATTN: CREDENTIALING
City : WILMINGTON
State : NC
Zip : 28401-7307
Country : US
Telephone Number : 910-341-3300
Fax Number : 910-815-2882
Provider Business Practice Location Address
First Line : 9101 OCEAN HWY E
Second Line :
City : LELAND
State : NC
Zip : 28451-7867
Country : US
Telephone Number : 910-341-3300
Fax Number : 910-251-2067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 01/30/2019

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Directions to “ KIRA MARK ALATAR MD” Practice Location

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