Provider Demographics
NPI:1740320076
Name:ONSLOW DOCTORS CARE INCORPORATED
Entity type:Organization
Organization Name:ONSLOW DOCTORS CARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WADE
Authorized Official - Middle Name:R
Authorized Official - Last Name:TURLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-577-1555
Mailing Address - Street 1:325 WESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-6341
Mailing Address - Country:US
Mailing Address - Phone:910-577-1555
Mailing Address - Fax:910-577-1841
Practice Address - Street 1:325 WESTERN BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6341
Practice Address - Country:US
Practice Address - Phone:910-577-1555
Practice Address - Fax:910-577-1841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16475302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8913111Medicaid
NC891074VMedicaid
NC89128JGMedicaid
NC8913111Medicaid
NC202709EMedicare ID - Type Unspecified
NC891074VMedicaid
NC2226079FMedicare PIN
NCC81434Medicare UPIN
NC89128JGMedicaid