Individual
DR. WISSAM BADER MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2009-02110
NC
207RN0300X
Nephrology Physician
2009-02110
NC
Other
Enumeration date
07/30/2007
Last updated
03/09/2021
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