Individual
DR. ANETTE BODOKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9101 OCEAN HWY E, LELAND, NC 28451-7867
(910) 341-3300
(910) 251-2067
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3000
(910) 251-2067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016-01418
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102770239
—
PA
01
—
P01235701
RR MEDICARE
PA
Enumeration date
07/06/2009
Last updated
04/15/2021
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