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Individual

DR. NICOLE WILDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4420 LAKE BOONE TRL, REX HOSPITAL, RALEIGH, NC 27607-7505
(919) 784-3175
(919) 784-3440
Mailing address
4420 LAKE BOONE TRAIL, REX HOSPITAL, RALEIGH, NC 27607
(919) 784-3100

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2011-00689
NC

Other

Enumeration date
11/04/2008
Last updated
05/11/2012
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