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Individual

MRS. MARSHA D FRETWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1013 PORTERS NECK RD, SUITE 100, WILMINGTON, NC 28411-8130
(910) 686-1099
(910) 686-4715
Mailing address
1013 PORTERS NECK RD, SUITE 100, WILMINGTON, NC 28411-8130
(910) 686-1099
(910) 686-4715

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
9401190
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890164H
NC
Enumeration date
03/24/2006
Last updated
08/01/2011
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