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Organization
WILMINGTON FAMILY PRACTICE PLLC
Active
Organization
WILMINGTON FAMILY PRACTICE PLLC
Active
Other names
Center For Quality Care, WILMINGTON FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE CROUSE (OFFICE MANAGER)
(910) 500-6451
Entity
Organization
Contact information
Practice address
3971 BUSINESS 17 E, BOLIVIA, NC 28422-8675
(910) 500-6451
(910) 500-6458
Mailing address
3971 BUSINESS 17 E, BOLIVIA, NC 28422-8675
(910) 500-6451
(910) 500-6458
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/27/2019
Last updated
12/12/2024
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