Organization · NPI-2

Affiliated Medical Group, PLLC

Psychiatry & Neurology, Psychiatry · Jacksonville, NC

NPI number1922280700
StatusActive
Last updated in NPPESApr 27, 2026

Details

NPI
1922280700
Entity type
Organization (NPI-2)
Legal business name
Affiliated Medical Group, PLLC
Organization subpart
No
Enumeration date
Dec 3, 2007
Certification date
Apr 27, 2026
Last updated
Apr 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry––Yes
363LP0808X Nurse Practitioner, Psych/Mental Health––
2084N0400X Psychiatry & Neurology, Neurology––

Practice location

39 Office Park Dr Ste A
Jacksonville, NC 28546-3220

Phone 910-939-0724 · Fax 910-333-9145

Mailing address

Po Box 12459
Jacksonville, NC 28546-2459

Phone 910-939-0724 · Fax 910-333-9145

Other practice locations

1 Town Square Blvd Ste 342
Asheville, NC 28803-5024

Phone 910-939-0724 · Fax 910-333-9145

7700 N Kendall Dr Ste 807
Miami, FL 33156-7697

Phone 910-939-0724 · Fax 910-333-9145

Authorized official

David Joseph Ahlberg
Owner
9109390724

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