# WOMBS WINDOW JACKSONVILLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811796170
- **Authorized official:** STEPHANIE PRICE (OFFICE MANAGER)
- **Authorized official phone:** (910) 352-6368

## Contact information

- **Practice address:** 3780 HENDERSON DR, JACKSONVILLE, NC 28546-5236
- **Practice address phone:** (910) 548-9149
- **Practice address fax:** (910) 685-7566
- **Mailing address:** 4608 INDIAN TRL, WILMINGTON, NC 28412-7634
- **Mailing address phone:** (910) 352-6368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2025
- **Last updated:** 03/18/2025