Individual
TERRENCE P WOLANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6379
(910) 577-2345
Mailing address
PO BOX 12276, JACKSONVILLE, NC 28546-2276
(910) 455-2124
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
26619
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32882
MEDCOST
NC
01
—
88739
BCBSNC
NC
05
—
8988739
—
NC
Enumeration date
11/08/2006
Last updated
01/15/2010
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