Organization
WILMINGTON WELLNESS GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN ELLINGTON MCCANN MD (OWNER)
(910) 471-4774
Entity
Organization
Contact information
Practice address
1213 CULBRETH DR, WILMINGTON, NC 28405-3684
(910) 471-4773
Mailing address
1213 CULBRETH DR, WILMINGTON, NC 28405-3684
(910) 471-4773
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141FF
BLUE CROSS
NC
05
—
5903309
—
NC
Enumeration date
11/06/2006
Last updated
08/22/2020
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