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Organization
WILMINGTON FAMILY PRACTICE PLLC
Active
Organization
WILMINGTON FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA LOUISE HUDSON (PRACTICE MANAGER)
(910) 500-6451
Entity
Organization
Contact information
Practice address
201 N FRONT ST, SUITE 102, WILMINGTON, NC 28401-4055
(910) 500-6451
(910) 500-6478
Mailing address
201 N FRONT ST, SUITE 102 LL, WILMINGTON, NC 28401-4055
(910) 500-6451
(910) 500-6478
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/15/2019
Last updated
02/11/2020
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