Provider Demographics
NPI:1851718142
Name:CAPE FEAR ARTHRITIS CARE, PLLC
Entity Type:Organization
Organization Name:CAPE FEAR ARTHRITIS CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-679-3212
Mailing Address - Street 1:183 SOUND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-3570
Mailing Address - Country:US
Mailing Address - Phone:910-512-1077
Mailing Address - Fax:
Practice Address - Street 1:1003 OLDE WATERFORD WAY STE 1B
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-4168
Practice Address - Country:US
Practice Address - Phone:910-679-3212
Practice Address - Fax:877-718-8984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9801505261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCDU9540OtherRAILROAD MEDICARE