Organization
CAPE FEAR PHYSICIAN SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL EUGENE GOODWIN (EXECUTIVE VP)
(910) 667-9402
Entity
Organization
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-9402
(877) 665-4450
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-9402
(877) 665-4450
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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