Provider Demographics
NPI:1124613518
Name:J ARTHUR DOSHER MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:J ARTHUR DOSHER MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-454-4728
Mailing Address - Street 1:924 N HOWE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28461-3038
Mailing Address - Country:US
Mailing Address - Phone:910-457-3810
Mailing Address - Fax:910-457-3842
Practice Address - Street 1:819 N ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:NC
Practice Address - Zip Code:28461-3531
Practice Address - Country:US
Practice Address - Phone:910-454-4635
Practice Address - Fax:855-777-2271
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J ARTHUR DOSHER MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty