Individual
DR. JUSTIN LEE VANDERMOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 PHYSICIANS DR, WILMINGTON, NC 28401-7338
(910) 662-9500
(910) 662-9501
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-9500
(910) 662-9501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018-01727
NC
207RC0000X
Cardiovascular Disease Physician
Primary
2018-01727
NC
208M00000X
Hospitalist Physician
2018-01727
NC
Other
Enumeration date
05/06/2015
Last updated
07/05/2023
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