# WILMINGTON PROACTIVE MEDICINE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124467584
- **Authorized official:** APRIL SCOTT (PRACTICE MANAGER)
- **Authorized official phone:** (910) 431-2512

## Contact information

- **Practice address:** 1410 COMMONWEALTH DR, SUITE 100, WILMINGTON, NC 28403-0376
- **Practice address phone:** (910) 679-4784
- **Practice address fax:** (910) 777-5453
- **Mailing address:** 1410 COMMONWEALTH DR, SUITE 100, WILMINGTON, NC 28403-0314
- **Mailing address phone:** (910) 679-4784
- **Mailing address fax:** (910) 777-5453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 9701146 | NC | Yes |

## Other

- **Enumeration date:** 06/19/2013
- **Last updated:** 08/16/2013