Tight Lines Family Medicine P.A.
LBN: Tight Lines Family Medicine P.A.
Tight Lines Family Medicine P.A. is an health care organization with primary practice located at 1902 Meeting Ct , Wilmington NC 28401-6631. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Tight Lines Family Medicine P.A. can be contacted via phone (910) 399-7180, or through Ludlum, Max Brandon via phone (910) 538-9581.
Contact Information
Primary practice address
1902 Meeting Ct
Wilmington NC 28401-6631
Phone: (910) 399-7180
Fax: (910) 660-8314
Website:
Authorized official contact:
Name: Ludlum, Max Brandon Physician's Assistant Certified (PA-C)
Phone: (910) 538-9581
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1366047748 |
|---|---|
| LBN Legal business name | Tight Lines Family Medicine P.A. |
| DBA Doing business as | Tight Lines Family Medicine P.A. |
| Authorized official | Ludlum, Max Brandon Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 2nd, 2020 |
| Last updated | Dec 6th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366047748 | NPPES |
| North Carolina | MEDICAID | 1669918223 |
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