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Organization
PELICAN FAMILY MEDICINE, P.A.
Active
Organization
PELICAN FAMILY MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T ARMITAGE M.D. (OWNER/PHYSICIAN)
(910) 792-1001
Entity
Organization
Contact information
Practice address
5429 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6513
(910) 792-1001
(910) 792-1004
Mailing address
5429 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6513
(910) 792-1001
(910) 792-1004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200101001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89130GR
—
NC
Enumeration date
08/03/2006
Last updated
02/23/2011
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