Individual
WAYNE STILLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203-5866
(704) 381-8840
Mailing address
1001 BLYTHE BLVD, CHARLOTTE, NC 28203-5866
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2016-01993
NC
Other
Enumeration date
08/26/2005
Last updated
10/24/2018
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