Healthcare Provider Details

I. General information

NPI: 1780594366
Provider Name (Legal Business Name): MILKWISE MEDICAL NC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 DELANEY AVE
WILMINGTON NC
28403-6012
US

IV. Provider business mailing address

2311 DELANEY AVE
WILMINGTON NC
28403-6012
US

V. Phone/Fax

Practice location:
  • Phone: 850-380-2489
  • Fax:
Mailing address:
  • Phone: 850-380-2489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STUART HARDY
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 910-619-5290