MEDICARE: CAPE FEAR ARTHRITIS CARE, PLLC

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	261QM2500X	Medical Specialty Clinic/Center	9801505	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DU9540	OTHER	NC	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1851718142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPE FEAR ARTHRITIS CARE, PLLC

Provider Business Mailing Address
First Line	:	183 SOUND VIEW DR
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28409-3570
Country	:	US
Telephone Number	:	910-512-1077
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 OLDE WATERFORD WAY STE 1B
Second Line	:
City	:	LELAND
State	:	NC
Zip	:	28451-4168
Country	:	US
Telephone Number	:	910-679-3212
Fax Number	:	877-718-8984

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID H SNOW
Credential	:	M.D.
Telephone Number	:	910-679-3212

Provider Enumeration Date	:	03/25/2014
Last Update Date	:	12/13/2021

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