Individual
GREGORY J WILMOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 LAKE BOONE TRL, SUITE 200, RALEIGH, NC 27607-7511
(919) 782-2152
(919) 782-7929
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
9900389
NC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
9900389
NC
Other
Enumeration date
06/01/2006
Last updated
05/05/2026
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