Individual
NEILL H. MUSSELWHITE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5145 S COLLEGE RD, WILMINGTON, NC 28412-2207
(910) 792-1144
(910) 792-0160
Mailing address
PO BOX 602484, CHARLOTTE, NC 28260-2484
(910) 792-1144
(910) 792-0160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20169
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528007226
—
NC
05
—
8961634
—
NC
Enumeration date
06/06/2006
Last updated
07/09/2015
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