| Hanover Gastroenterology | |
|
1415 Medical Center Dr Wilmington NC 28401-7504 | |
| (910) 763-5182 | |
| (910) 763-5182 |
| Full Name | Hanover Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1415 Medical Center Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Daniel L Wiens (ADMINISTRATOR) |
| Authorized Official Contact | 7043550648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanover Gastroenterology Po Box 602701 Charlotte NC 28260-2701 Ph: (910) 763-5182 | Hanover Gastroenterology 1415 Medical Center Dr Wilmington NC 28401-7504 Ph: (910) 763-5182 |
| NPI Number | 1851655930 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 08/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851655930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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