| |
1908 Meeting Ct Wilmington NC 28401-6631 | |
(910) 342-9969 | |
(910) 342-9929 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1908 Meeting Ct, Wilmington, North Carolina |
Authorized Official Name and Position | David Moye (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9198512174 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5420 Wade Park Blvd Ste 106 Raleigh NC 27607-4188 Ph: (919) 233-5952 | 1908 Meeting Ct Wilmington NC 28401-6631 Ph: (910) 342-9969 |
NPI Number | 1083013205 |
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Provider Enumeration Date | 08/14/2014 |
Last Update Date | 08/14/2014 |
Identifier | Type | State | Issuer |
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1083013205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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