MEDICARE: URGENT CARE OF WILMINGTON PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1356444632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT CARE OF WILMINGTON PA

Provider Business Mailing Address
First Line	:	1135 MILITARY CUTOFF RD
Second Line	:	SUITE 103
City	:	WILMINGTON
State	:	NC
Zip	:	28405-3966
Country	:	US
Telephone Number	:	910-256-6222
Fax Number	:	910-256-0011

Provider Business Practice Location Address
First Line	:	1135 MILITARY CUTOFF RD
Second Line	:	SUITE 103
City	:	WILMINGTON
State	:	NC
Zip	:	28405-3966
Country	:	US
Telephone Number	:	910-256-6222
Fax Number	:	910-256-0011

Authorized Official
Title or Position	:	MEDICAL DIRECGTOR
Name	:	DR. MARY FRANKOS
Credential	:	MD
Telephone Number	:	910-256-6222

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	03/04/2008

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Directions to “URGENT CARE OF WILMINGTON PA ” Practice Location

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