Individual
DR. GINA MARIE BERTHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2421 SILVER STREAM LN, ATTEN CREDENTIALING, WILMINGTON, NC 28401-7684
(910) 341-3300
(910) 341-3321
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
(910) 341-3321
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
2012-01777
NC
2080P0208X
Pediatric Infectious Diseases Physician
2012-01777
NC
Other
Enumeration date
05/14/2007
Last updated
08/05/2014
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