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NPI Code Detail

MEDICARE: AFFILIATED MEDICAL GROUP, PLLC

MEDICARE: AFFILIATED MEDICAL GROUP, 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner
22084N0400XNeurology Physician
32084P0800XPsychiatry Physician

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 : 1922280700
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFFILIATED MEDICAL GROUP, PLLC
Provider Business Mailing Address
First Line : PO BOX 12459
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-2459
Country : US
Telephone Number : 910-939-0724
Fax Number : 910-333-9145
Provider Business Practice Location Address
First Line : 39 OFFICE PARK DR STE A
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-3220
Country : US
Telephone Number : 910-939-0724
Fax Number : 910-333-9145
Authorized Official
Title or Position : OWNER
Name : DR. DAVID JOSEPH AHLBERG
Credential : MD
Telephone Number : 910-939-0724
Provider Enumeration Date : 12/03/2007
Last Update Date : 04/27/2026

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Directions to “AFFILIATED MEDICAL GROUP, PLLC ” Practice Location

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