Organization
HANOVER MEDICAL SPECIALISTS P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA L. MAISENHELDER (CHIEF EXECUTIVE OFFICER)
(910) 815-0889
Entity
Organization
Contact information
Practice address
1515 DOCTORS CIR, WILMINGTON, NC 28401-7403
(910) 763-1219
(910) 763-0291
Mailing address
1515 DOCTORS CIR, WILMINGTON, NC 28401-7403
(910) 763-1219
(910) 763-0291
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
40135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901740
—
NC
Enumeration date
06/18/2006
Last updated
11/30/2009
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