Individual
JAMES M. MERTESDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 DOCTORS CIR, HANOVER MEDICAL SPECIALISTS, WILMINGTON, NC 28401-7403
(910) 763-1219
(910) 763-0291
Mailing address
1515 DOCTORS CIR, HANOVER MEDICAL SPECIALISTS, WILMINGTON, NC 28401-7403
(910) 763-1219
(910) 763-0291
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
27826
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8958702
—
NC
Enumeration date
09/07/2005
Last updated
11/29/2007
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