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2523 Delaney Rd Wilmington NC 28403-6003 | |
(910) 772-9202 | |
(910) 772-9452 |
Full Name | |
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Speciality | Family Medicine |
Location | 2523 Delaney Rd, Wilmington, North Carolina |
Authorized Official Name and Position | Robert L. Hardyman (MANAGER) |
Authorized Official Contact | 9107729202 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2523 Delaney Rd Wilmington NC 28403-6003 Ph: (910) 772-9202 | 2523 Delaney Rd Wilmington NC 28403-6003 Ph: (910) 772-9202 |
NPI Number | 1225286065 |
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Provider Enumeration Date | 09/05/2008 |
Last Update Date | 09/05/2008 |
Identifier | Type | State | Issuer |
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1225286065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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