Organization
SNEADS FERRY PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WILCOX NP (CEO)
(910) 327-5437
Entity
Organization
Contact information
Practice address
108 LAKESIDE DR, SNEADS FERRY, NC 28460-9415
(910) 327-5437
(877) 505-8468
Mailing address
108 LAKESIDE DR, SNEADS FERRY, NC 28460-9415
(910) 327-5437
(877) 505-8468
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20000007
NC
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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