New Hanover High School Wellness Center | |
4005 Oleander Dr Wilmington NC 28403-6816 | |
(910) 790-9949 | |
(910) 790-9455 |
Full Name | New Hanover High School Wellness Center |
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Speciality | Family Medicine - Adolescent Medicine |
Location | 4005 Oleander Dr, Wilmington, North Carolina |
Authorized Official Name and Position | Maria G Van De Bovenkamp (DIRECTOR OF ADMINISTRATION) |
Authorized Official Contact | 9107909949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
New Hanover High School Wellness Center 1307 Market St Wilmington NC 28401-4331 Ph: (910) 763-4988 | New Hanover High School Wellness Center 4005 Oleander Dr Wilmington NC 28403-6816 Ph: (910) 790-9949 |
NPI Number | 1902905649 |
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Provider Enumeration Date | 09/21/2006 |
Last Update Date | 10/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902905649 | NPI | - | NPPES |
8701705 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0000X | Family Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
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