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NPI Code Detail

MEDICARE: WILMINGTON INTERNAL MEDICINE PA

MEDICARE: WILMINGTON INTERNAL MEDICINE 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
1207R00000XInternal Medicine Physician85716NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20176COTHERNCBLUE CROSS PROVIDER #

General Provider Information

NPI Number : 1639201056
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILMINGTON INTERNAL MEDICINE PA
Provider Business Mailing Address
First Line : 2215 CANTERWOOD DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7301
Country : US
Telephone Number : 910-762-4600
Fax Number : 910-762-9483
Provider Business Practice Location Address
First Line : 2215 CANTERWOOD DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7301
Country : US
Telephone Number : 910-762-4600
Fax Number : 910-762-9483
Authorized Official
Title or Position : PRACTICE MANAGER
Name : MRS. WENDY MICHELLE YOUNG
Credential :
Telephone Number : 910-762-4600
Provider Enumeration Date : 03/12/2007
Last Update Date : 12/27/2012

Similar Medicare Providers

1013912229 — MICHAEL MUNDY WARD MD
Practice Location Address:
2215 CANTERWOOD DR
WILMINGTON, NC
28401-7301
Practice Phone: 910-762-4600
Practice Fax: 910-762-9483
1194711192 — DR. ANDRE GUALBERTO SARMIENTO MD
Practice Location Address:
2215 CANTERWOOD DR
WILMINGTON, NC
28401-7301
Practice Phone: 910-762-4600
Practice Fax: 910-762-9483
1770563314 — DR. FRANK ALAN SNYDER MD
Practice Location Address:
2215 CANTERWOOD DR
WILMINGTON, NC
28401-7301
Practice Phone: 910-762-4600
Practice Fax: 910-762-9483
1528008109 — IAN FOXALL. M.D
Practice Location Address:
2215 CANTERWOOD DR
WILMINGTON, NC
28401-7301
Practice Phone: 910-762-4600
Practice Fax: 910-762-9483
1124139373 — KIMBERLY J SALENE M.D.
Practice Location Address:
2215 CANTERWOOD DR
WILMINGTON, NC
28401-7301
Practice Phone: 910-762-4600
Practice Fax: 910-762-9483
1508007121 — CANTERWOOD MEDICAL GROUP
Practice Location Address:
2207 CANTERWOOD DR
WILMINGTON, NC
28401-7301
Practice Phone: 910-254-4777
Practice Fax: 910-254-4888

Directions to “WILMINGTON INTERNAL MEDICINE PA ” Practice Location

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