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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

NPI # 1639365562
LBN Legal business name WILMINGTON HEALTH PLLC
Authorized official CHASITY CHACE - (DIRECTOR BUSINESS SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2007
Last updated 03/15/2023 - About 3 years ago
Identifiers
NC License # NC73991
NC Medicaid 89022IL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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