| Wrightsboro Family Practice And Urgent Care Llc | |
|
2539 Castle Hayne Rd Ste F1 Wilmington NC 28401-2691 | |
| (910) 392-7064 | |
| (910) 392-5885 |
| Full Name | Wrightsboro Family Practice And Urgent Care Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 2539 Castle Hayne Rd, Wilmington, North Carolina |
| Authorized Official Name and Position | James Jerome Pence (PRESIDENT) |
| Authorized Official Contact | 9103927064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wrightsboro Family Practice And Urgent Care Llc 2539 Castle Hayne Rd Ste F1 Wilmington NC 28401-2691 Ph: (910) 392-7064 | Wrightsboro Family Practice And Urgent Care Llc 2539 Castle Hayne Rd Ste F1 Wilmington NC 28401-2691 Ph: (910) 392-7064 |
| NPI Number | 1962456145 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962456145 | NPI | - | NPPES |
| 5903744 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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