Organization
CAPESIDE PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DIXON (CREDENTIALING SPECIALIST)
(910) 520-6756
Entity
Organization
Contact information
Practice address
311 JUDGES RD STE 4E, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 399-2190
Mailing address
311 JUDGES RD STE 4E, WILMINGTON, NC 28405-3655
(910) 791-6767
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/13/2014
Last updated
08/04/2025
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