Individual
MORGAN EATON WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 BUCCANEER RD, WILMINGTON, NC 28409-2719
(910) 538-4552
Mailing address
314 BUCCANEER RD, WILMINGTON, NC 28409-2719
(910) 538-4552
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NPWALL-XGP0W
NC
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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