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Individual

ADELE SOUTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7000
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
(910) 667-5650

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/02/2020
Last updated
04/02/2020
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