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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