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2131 S 17th St Wilmington NC 28401-7407 | |
| (910) 772-9202 | |
| (910) 772-9452 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 2131 S 17th St, 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 |
|---|---|
Po Box 890554 Charlotte NC 28289-0554 Ph: (910) 772-9202 | 2131 S 17th St Wilmington NC 28401-7407 Ph: (910) 772-9202 |
| NPI Number | 1942288600 |
|---|---|
| Provider Enumeration Date | 01/04/2006 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942288600 | NPI | - | NPPES |
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