Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shallotte Medical Center Inc

Organization Family Medicine Physician · NPI 1992764211

Shallotte Medical Center Inc provides Family Medicine Physician services in Bolivia, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3875 Business Hwy 17 E
Bolivia, NC 28422 Not confirmed with CMS for 18 years — call before visiting
Phone: (910) 253-7990
Fax: (910) 253-7990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1992764211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernard Langston — President · (910) 754-8731
Other names Bolivia Medical Center
NPI enumeratedMarch 23, 2006
Last updated in NPPESFebruary 5, 2008
Mailing addressPo Box 409, Bolivia Medical Center, Bolivia, NC 28422

Other providers in Bolivia