Individual
DR. CLINTON DENNIS WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5085 MORGANTON RD, SUITE100, FAYETTEVILLE, NC 28314-1523
(910) 864-1503
(910) 864-3747
Mailing address
5085 MORGANTON RD, SUITE100, FAYETTEVILLE, NC 28314-1523
(910) 864-1503
(910) 864-3747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26411
NC
Other
Enumeration date
03/17/2010
Last updated
08/18/2010
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