Individual
MS. JUMOKE M LADAPO-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
716 NORTH 10TH STREET, LILLINGTON, NC 27546
(910) 814-1212
(910) 814-0303
Mailing address
PO BOX 2138, 716 N 10TH STREET, LILLINGTON, NC 27546-2138
(910) 814-1212
(910) 814-0303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200800512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509T
BCBS
NC
05
—
5911249
—
NC
Enumeration date
04/11/2007
Last updated
04/06/2015
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