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NPI Code Detail

MEDICARE: WILMINGTON ANESTHESIOLOGISTS PLLC

MEDICARE: WILMINGTON ANESTHESIOLOGISTS PLLC
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
1207L00000XAnesthesiology Physician1234NC

Other Identifiers

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

General Provider Information

NPI Number : 1992708747
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILMINGTON ANESTHESIOLOGISTS PLLC
Provider Business Mailing Address
First Line : PO BOX 3686
Second Line :
City : WILMINGTON
State : NC
Zip : 28406-0686
Country : US
Telephone Number : 910-442-1100
Fax Number : 910-442-1199
Provider Business Practice Location Address
First Line : 2131 S 17TH ST
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7407
Country : US
Telephone Number : 910-442-1100
Fax Number : 910-442-1199
Authorized Official
Title or Position : EXECUTIVE COMMITTEE CHAIRMAN
Name : CHARLES MICHAEL HAHN
Credential : MD
Telephone Number : 910-442-1100
Provider Enumeration Date : 05/24/2005
Last Update Date : 08/22/2020

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Directions to “WILMINGTON ANESTHESIOLOGISTS PLLC ” Practice Location

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