Individual
DR. MARA FRANCES ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
311 JUDGES RD STE 4E, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 399-2190
Mailing address
310 BAYSHORE DR, WILMINGTON, NC 28411-9411
(910) 599-0084
(910) 399-2190
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
211251
NC
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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