Individual provider · NPI-1
Dr. Larry Brent Wilshire, MD
Ophthalmology · Jacksonville, NC
NPI number1326065848
StatusActive
Last updated in NPPESNov 27, 2007
Details
- NPI
- 1326065848
- Entity type
- Individual (NPI-1)
- Name
- Dr. Larry Brent Wilshire
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2006
- Last updated
- Nov 27, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 27869 | NC | Yes |
Other names
- L. Brent Wilshire (Professional Name)
Practice location
6 Office Park DrJacksonville, NC 28546-7325
Phone 910-355-3937 · Fax 910-347-6663
Mailing address
201 David PlJacksonville, NC 28540-4546
Phone 910-346-2085 · Fax 910-347-6663
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