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Individual

JOHN S PACE

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) 442-1100
(910) 442-1199
Mailing address
PO BOX 3686, WILMINGTON, NC 28406-0686
(910) 442-1100
(910) 442-1199

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18376
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8964750
NC
Enumeration date
06/16/2005
Last updated
05/08/2008
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