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Organization
S. TERRY WITHERS, JR., M.D.
Active
Organization
S. TERRY WITHERS, JR., M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S. TERRY WITHERS JR. M.D. (OWNER)
(910) 791-5426
Entity
Organization
Contact information
Practice address
5058 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7048
(910) 791-5426
(910) 799-2433
Mailing address
PO BOX 598, WRIGHTSVILLE BEACH, NC 28480-0598
(910) 791-5426
(910) 799-2433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356532659
NPI
—
01
—
1639240617
NPI
—
05
—
5902268
—
NC
Enumeration date
04/14/2008
Last updated
11/15/2010
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