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Organization
CAPE FEAR PHYSICIAN SERVICES, INC
Active
Organization
CAPE FEAR PHYSICIAN SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL EUGENE GOODWIN (EXECUTIVE VP)
(910) 667-9402
Entity
Organization
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-9402
(877) 665-4450
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-9402
(877) 665-4450
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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