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Organization
TIDAL WELLNESS INTEGRATIVE FAMILY MEDICINE
Active
Organization
TIDAL WELLNESS INTEGRATIVE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA E GRIFFIN DO (OWNER)
(919) 770-7709
Entity
Organization
Contact information
Practice address
6752 ROCK SPRING RD STE 320, WILMINGTON, NC 28405-3179
(910) 302-8002
Mailing address
6752 ROCK SPRING RD STE 320, WILMINGTON, NC 28405-3179
(910) 302-8002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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