Organization
TRINITY WELLNESS CENTER OF WILMINGTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA MARTELL (CREDENTIALLING MANAGER)
(904) 420-7343
Entity
Organization
Contact information
Practice address
1907 S 17TH ST, SUITE 1, WILMINGTON, NC 28401-6626
(910) 343-8424
(910) 343-6989
Mailing address
1907 S 17TH ST, SUITE 1, WILMINGTON, NC 28401-6626
(910) 343-8424
(910) 343-6989
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9600112
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900768
—
NC
05
—
6005578
—
NC
Enumeration date
09/28/2006
Last updated
06/04/2024
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