Individual
GARY VAN WERTMAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2145 COUNTRY CLUB RD STE 800, JACKSONVILLE, NC 28546-2404
(910) 939-5759
(910) 939-4951
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(910) 332-3800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
201101058
NC
208600000X
Surgery Physician
201101058
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083805006
—
NC
05
—
NC2086
—
SC
Enumeration date
08/06/2007
Last updated
02/19/2025
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