Individual
JOHN HERMAN BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1025 MEDICAL CENTER DR, WILMINGTON, NC 28401
(910) 762-3882
Mailing address
1025 MEDICAL CENTER DR, WILMINGTON, NC 28401-7354
(910) 762-3882
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003616
MD
Other
Enumeration date
09/28/2007
Last updated
10/31/2019
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