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Individual

JOHN T HOARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 332-1072
Mailing address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 332-1072

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100233
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0552PA
SC
01
970022765
RAILROAD MEDICARE
NC
Enumeration date
07/20/2005
Last updated
09/16/2015
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