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Organization

PARTNERS IN ENDOCRINOLOGY AND DIABETES PLLC

Active
Other names
PED
Organization subpart
No

Provider details

NPI number
Authorized official
STUART BRYSON LEY MD (OWNER/MANAGER)
(910) 762-6481
Entity
Organization

Contact information

Practice address
1501 MEDICAL CENTER DR, WILMINGTON, NC 28401-7506
(910) 762-6481
(910) 762-9705
Mailing address
1501 MEDICAL CENTER DR, WILMINGTON, NC 28401-7506
(910) 762-6481
(910) 762-9705

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
9401253
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019P4
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
07/17/2006
Last updated
12/21/2007
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