Organization
WRIGHTSBORO FAMILY PRACTICE AND URGENT CARE LLC
Active
Organization
WRIGHTSBORO FAMILY PRACTICE AND URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JEROME PENCE JR. MD (PRESIDENT)
(910) 392-7064
Entity
Organization
Contact information
Practice address
2539 CASTLE HAYNE RD, STE F1, WILMINGTON, NC 28401-2691
(910) 392-7064
(910) 392-5885
Mailing address
2539 CASTLE HAYNE RD, STE F1, WILMINGTON, NC 28401-2691
(910) 392-7064
(910) 392-5885
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903744
—
NC
Enumeration date
05/20/2006
Last updated
01/20/2010
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