Wildwood Medical Clinic | |
2053 River Road Henrico NC 27842-0392 | |
(252) 537-9400 | |
(252) 537-1221 |
Full Name | Wildwood Medical Clinic |
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Speciality | Family Medicine |
Location | 2053 River Road, Henrico, North Carolina |
Authorized Official Name and Position | Russ Gardner (CLINICS MANAGER) |
Authorized Official Contact | 2525351398 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wildwood Medical Clinic Po Box 392 2053 River Rd Henrico NC 27842-0392 Ph: (252) 537-9400 | Wildwood Medical Clinic 2053 River Road Henrico NC 27842-0392 Ph: (252) 537-9400 |
NPI Number | 1881704997 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 03/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881704997 | NPI | - | NPPES |
348933A | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |