Individual
DOUGLAS ALAN WALDREP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7000
(910) 815-5850
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2006-01911
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2006-01911
NC
Other
Enumeration date
10/03/2006
Last updated
05/26/2021
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