Individual
CAROL M WADON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 FIRST VLG, PINEHURST, NC 28374-8724
(910) 295-0215
(910) 295-0218
Mailing address
PO BOX 9788, BELFAST, ME 04915-9788
(910) 295-0215
(910) 215-0218
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
37968
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85166
BLUE CROSS BLUE SHIELD
NC
05
—
8985166
—
NC
01
—
FH2967595
FIRSTCAROLINA CARE
NC
Enumeration date
09/16/2006
Last updated
11/01/2012
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