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WACCAMAW PRIMARY CARE INC
NPI 1992010094
Physician Assistant - Medical in Whiteville, NC

Active since August 12, 2010
619 JEFFERSON ST, WHITEVILLE, NC 28472(910) 642-2230 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waccamaw Primary Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WACCAMAW PRIMARY CARE INC (NPI 1992010094) is a healthcare organization registered as a medical in Whiteville, North Carolina and active in the NPI registry since August 2010. The organization lists Jeffrey Alan Clarke, Owner, as its authorized official.

NPPES Registry Identity

NPI1992010094
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameWACCAMAW PRIMARY CARE INC
Location Address619 JEFFERSON STWhiteville, NC 28472-3707
Mailing AddressPo Box 790Whiteville, NC 28472-0790 · (910) 641-0400 · Fax (910) 642-5929
Phone(910) 642-2230
Organization SubpartNo
Authorized OfficialJeffrey Alan ClarkeOwner · (910) 642-2230
Enumeration DateAugust 12, 2010
✔ NPI 1992010094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 101710
619 JEFFERSON ST, Whiteville, NC 28472
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY ALAN CLARKE PA
Physician Assistant
619 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-0331
MARIE GRAHAM CAMPBELL FNP
Nurse Practitioner (Family)
619 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-0331
PEGGY NEWMAN FNP
Nurse Practitioner
619 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-0331
JOHN D HODGSON MD, PA
Internal Medicine
619 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-0331
SOUTHEAST MEDICAL LABORATORY LLC
Clinical Medical Laboratory
619 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-3697
RICHARD C. FLEMING, M.D., P.A.
Internal Medicine
619 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-8157
JOHN F MUNROE MD, PA
Internal Medicine
619 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-2230
WACCAMAW ULTRASOUND & DIAGNOSTICS, INC.
Physiological Laboratory
619 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-9085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waccamaw Primary Care Inc's NPI number?

The NPI number for Waccamaw Primary Care Inc is 1992010094. It was assigned to this organization in the NPPES registry on August 12, 2010.

Where is Waccamaw Primary Care Inc located?

Waccamaw Primary Care Inc is located at 619 Jefferson St, Whiteville, NC 28472. The listed phone number is (910) 642-2230.

What is Waccamaw Primary Care Inc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Waccamaw Primary Care Inc was last updated on August 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.