Individual
GABRIELLA GEORGIA BASDEKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 OLEANDER DR, WILMINGTON, NC 28403-7018
(910) 362-1011
Mailing address
5115 OLEANDER DR, WILMINGTON, NC 28403-7018
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-13699
NC
Other
Enumeration date
10/26/2023
Last updated
12/12/2023
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