Wilmington Internal Medicine PA
Internal Medicine in Wilmington, NC. Organization (NPI-2).
NPI number1639201056
StatusActive
Last updated in NPPESDec 27, 2012
Details
- NPI
- 1639201056
- Entity type
- Organization (NPI-2)
- Legal business name
- Wilmington Internal Medicine PA
- Organization subpart
- No
- Enumeration date
- Mar 12, 2007
- Last updated
- Dec 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 85716 | NC | Yes |
Practice location
2215 Canterwood DrWilmington, NC 28401-7301
Phone 910-762-4600 · Fax 910-762-9483
Mailing address
2215 Canterwood DrWilmington, NC 28401-7301
Phone 910-762-4600 · Fax 910-762-9483
Authorized official
Wendy Michelle Young
Practice Manager
9107624600
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