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Organization
THE PEEDEE CLINIC
Active
Organization
THE PEEDEE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT F PERRY MD (PRESIDENT)
(910) 256-8087
Entity
Organization
Contact information
Practice address
1017 ASHES DR, SUITE 100, WILMINGTON, NC 28405-8352
(910) 256-8087
(910) 256-8838
Mailing address
1017 ASHES DR, SUITE 100, WILMINGTON, NC 28405-8352
(910) 256-8087
(910) 256-8838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9401472
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890187R
—
NC
Enumeration date
07/06/2006
Last updated
08/22/2020
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