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Caroline Gooch Reynolds, PA-C

Physician Assistant, Medical in Wilmington, NC. Individual provider (NPI-1).

NPI number1982244471
StatusActive
Last updated in NPPESJan 13, 2020

Details

NPI
1982244471
Entity type
Individual (NPI-1)
Name
Mrs. Caroline Gooch Reynolds
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jan 13, 2020
Certification date
Jan 13, 2020
Last updated
Jan 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical0010-09658NCYes

Practice location

340 Sabra Dr
Wilmington, NC 28405-3833

Phone 910-612-6162

Mailing address

340 Sabra Dr
Wilmington, NC 28405-3833

Phone 910-612-6162

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