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Organization

WILMINGTON FAMILY PRACTICE

Active
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Organization

WILMINGTON FAMILY PRACTICE

Active
Other names
WILMINGTON FAMILY PRACTICE
Organization subpart
No

Provider details

NPI number
Authorized official
TINA HUDSON (OFFICE MANAGER)
(910) 538-6228
Entity
Organization

Contact information

Practice address
201 N FRONT ST STE 102, WILMINGTON, NC 28401-4055
(910) 500-6451
(910) 500-5864
Mailing address
201 N FRONT ST STE 102, WILMINGTON, NC 28401-4055
(910) 500-6451
(910) 500-5864

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
10/02/2019
Last updated
10/02/2019
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