Individual
EMILY FONTENOT MARCINKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2739 IRON GATE DR, WILMINGTON, NC 28412-3731
(910) 763-7363
(910) 251-8296
Mailing address
2739 IRON GATE DR, WILMINGTON, NC 28412-3731
(910) 763-7363
(910) 251-8296
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
201001333
NC
2086X0206X
Surgical Oncology Physician
201001333
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010-01333
NORTH CAROLINA MEDICAL LICENSE
NC
Enumeration date
05/31/2007
Last updated
02/04/2025
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