Individual provider · NPI-1
Tony Blue, MD
Hospitalist · Wilmington, NC
NPI number1972557007
StatusActive
Last updated in NPPESMay 27, 2021
Details
- NPI
- 1972557007
- Entity type
- Individual (NPI-1)
- Name
- Tony Blue
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2006
- Certification date
- May 27, 2021
- Last updated
- May 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 9700478 | NC | Yes |
Practice location
2131 S 17th StWilmington, NC 28401-7407
Phone 910-667-7000 · Fax 910-815-5698
Mailing address
Po Box 936857Atlanta, GA 31193-6857
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