Individual
JUAN L ALDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
904 N HOWE ST, SOUTHPORT, NC 28461-3038
(910) 341-3300
(910) 815-2882
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
(910) 815-2882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9600838
NC
207RC0000X
Cardiovascular Disease Physician
Primary
9600838
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891030K
—
NC
Enumeration date
05/31/2006
Last updated
10/23/2018
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