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Organization
GLEN MEADE OB-GYN PA
Active
Organization
GLEN MEADE OB-GYN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE L WILSON II MD (VICE-PRES)
(910) 763-9833
Entity
Organization
Contact information
Practice address
1809 GLEN MEADE RD, WILMINGTON, NC 28403
(910) 763-9833
Mailing address
1809 GLEN MEADE RD, WILMINGTON, NC 28403
(910) 763-9833
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/31/2006
Last updated
08/29/2012
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