| S. Terry Withers, Jr., M.d. | |
|
5058 Wrightsville Ave Wilmington NC 28403-7048 | |
| (910) 791-5426 | |
| (910) 799-2433 |
| Full Name | S. Terry Withers, Jr., M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 5058 Wrightsville Ave, Wilmington, North Carolina |
| Authorized Official Name and Position | S. Terry Withers (OWNER) |
| Authorized Official Contact | 9107915426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. Terry Withers, Jr., M.d. Po Box 598 Wrightsville Beach NC 28480-0598 Ph: (910) 791-5426 | S. Terry Withers, Jr., M.d. 5058 Wrightsville Ave Wilmington NC 28403-7048 Ph: (910) 791-5426 |
| NPI Number | 1831363688 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831363688 | NPI | - | NPPES |
| 5902268 | Medicaid | NC | |
| 1356532659 | Other | NPI | |
| 1639240617 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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