Hanover Pediatrics
Clinic/Center, Primary Care in Wilmington, NC. Organization (NPI-2).
NPI number1669907929
StatusActive
Last updated in NPPESOct 27, 2025
Details
- NPI
- 1669907929
- Entity type
- Organization (NPI-2)
- Legal business name
- Hanover Pediatrics
- Organization subpart
- No
- Enumeration date
- Apr 25, 2017
- Certification date
- Oct 27, 2025
- Last updated
- Oct 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 200401564 | NC | Yes |
Practice location
3505 Converse Rd Ste 200Wilmington, NC 28403-6132
Phone 910-769-4994 · Fax 910-769-9254
Mailing address
3505 Converse Rd Ste 200Wilmington, NC 28403-6132
Phone 910-769-4994 · Fax 910-769-9254
Authorized official
Hoke Ward Pollock
Managing Member
9106202259
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