Individual
CASEY WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1302 MEDICAL CENTER DR, WILMINGTON, NC 28401-7503
(910) 343-9800
Mailing address
1302 MEDICAL CENTER DR, WILMINGTON, NC 28401-7503
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
5020483
NC
363L00000X
Nurse Practitioner
Primary
5020483
NC
Other
Enumeration date
07/22/2024
Last updated
08/23/2024
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