Sunlight Medical Clinic Pllc | |
1099 Medical Center Dr Suite 100-a Wilmington NC 28401-7346 | |
(910) 228-5894 | |
(910) 228-5897 |
Full Name | Sunlight Medical Clinic Pllc |
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Speciality | Clinic/center - Primary Care |
Location | 1099 Medical Center Dr, Wilmington, North Carolina |
Authorized Official Name and Position | Michael Chukwuma Odibo (OWNER/CEO) |
Authorized Official Contact | 9102285894 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sunlight Medical Clinic Pllc 1099 Medical Center Dr Suite 100-a Wilmington NC 28401-7346 Ph: (910) 228-5894 | Sunlight Medical Clinic Pllc 1099 Medical Center Dr Suite 100-a Wilmington NC 28401-7346 Ph: (910) 228-5894 |
NPI Number | 1063958890 |
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Provider Enumeration Date | 01/18/2017 |
Last Update Date | 01/18/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063958890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 2015-01360 (North Carolina) | Primary |
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