Individual
DR. ANN MILLER WILSON MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 W PETTIGREW ST, DURHAM, NC 27705-4821
(919) 286-0751
(919) 286-0751
Mailing address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2013-00883
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2009
Last updated
07/03/2013
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