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Organization

FRESH START PRIMARY CARE AND OUTPATIENT RECOVERY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAX BRANDON LUDLUM PA (PA/OWNER)
(877) 603-6199
Entity
Organization

Contact information

Practice address
1906 MEETING CT, WILMINGTON, NC 28401-6631
(910) 399-7180
Mailing address
1906 MEETING CT, WILMINGTON, NC 28401-6631
(910) 399-7180

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
08/18/2025
Last updated
12/17/2025
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