Healthcare Provider Details

I. General information

NPI: 1306603295
Provider Name (Legal Business Name): CORPORATION FOR INQUIRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2024
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 WONDER WAY
WILMINGTON NC
28401-8014
US

IV. Provider business mailing address

2525 WONDER WAY
WILMINGTON NC
28401-8014
US

V. Phone/Fax

Practice location:
  • Phone: 910-362-0000
  • Fax: 910-362-0048
Mailing address:
  • Phone: 910-362-0000
  • Fax: 910-362-0048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: DR. SUSAN KATHRYN GRAZIANO
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 910-362-0000