Individual
EDITH MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1415 PHYSICIANS DR, WILMINGTON, NC 28401-7338
(910) 662-9500
(910) 662-9501
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-9500
(910) 662-9501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04295
NC
Other
Enumeration date
08/19/2013
Last updated
05/26/2021
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