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Contact Information

WILMINGTON HEALTH PLLC
2421 SILVER STREAM LANE
WILMINGTON, NC28401
 Phone: 910-763-2072
 Fax: 910-763-1586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WILMINGTON HEALTH PLLC · (Female)

NPI # 1639365562
Status Active
Credentials
Entity Individual
Enumeration date 09/25/2007
Last updated 03/15/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # NC73991
  • NC Medicaid 89022IL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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