Individual
MITCHELL MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6132 CAROLINA BEACH RD, SUITE 8, WILMINGTON, NC 28412-2788
(910) 749-4749
(910) 794-4943
Mailing address
6132 CAROLINA BEACH RD, SUITE 8, WILMINGTON, NC 28412-2788
(910) 749-4749
(910) 794-4943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9700334
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891029L
—
NC
Enumeration date
08/31/2006
Last updated
08/18/2010
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