Healthcare Provider Details

I. General information

NPI: 1710032255
Provider Name (Legal Business Name): DOUGLAS R LINFERT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 MEDICAL CENTER DR
WILMINGTON NC
28401-7503
US

IV. Provider business mailing address

PO BOX 3317
GREENVILLE NC
27836-1317
US

V. Phone/Fax

Practice location:
  • Phone: 910-343-9800
  • Fax: 910-343-8650
Mailing address:
  • Phone: 252-752-8880
  • Fax: 252-317-2092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2024-03562
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2024-03562
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: