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Individual

MARY ANN WILMOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP - BC, FNP-BC

Contact information

Practice address
499 S CENTER CHURCH RD, THURMOND, NC 28683-9683
(336) 528-5785
(336) 222-6301
Mailing address
499 S CENTER CHURCH RD, THURMOND, NC 28683-9683
(336) 528-5785

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5014707
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5014707
NC

Other

Enumeration date
06/21/2021
Last updated
04/02/2025
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