Individual
WILTON O DEETS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
Mailing address
2430 EMERALD PL STE 201, GREENVILLE, NC 27834-5743
(252) 752-2140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193618
NC
367500000X
Certified Registered Nurse Anesthetist
193618
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
4252
NC
Other
Enumeration date
01/10/2007
Last updated
01/27/2022
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