Individual
SUSANNAH AYLESWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5211 S COLLEGE RD, WILMINGTON, NC 28412-2209
(910) 341-3300
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
(910) 341-3321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0200994
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132R1
BCBS NC
NC
01
—
1827737
CIGNA
NC
01
—
2234095
UHC
NC
05
—
89132R1
—
NC
01
—
C9226
MEDCOST
NC
Enumeration date
08/20/2006
Last updated
04/15/2021
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