Organization
WILMINGTON EYE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY ERICKSON RN (AUTHORIZED OFFICIAL)
(910) 763-3601
Entity
Organization
Contact information
Practice address
1919 S 16TH ST, WILMINGTON, NC 28401-6610
(910) 772-8261
Mailing address
1729 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
09/07/2023
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