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Individual

MS. SANDRA ELAINE WEIBLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1990 S 16TH ST, WILMINGTON, NC 28401-6647
(910) 762-7071
(910) 762-9658
Mailing address
1990 S 16TH ST, WILMINGTON, NC 28401-6647
(910) 762-7071
(910) 762-9658

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103077
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103077
STATE LICENSE
NC
Enumeration date
02/19/2008
Last updated
02/19/2008
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