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Individual

KENDALL WHITFIELD WANNAMAKER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2170 MIDLAND RD, SOUTHERN PINES, NC 28387-2927
(910) 295-2100
(910) 295-3625
Mailing address
2170 MIDLAND RD, SOUTHERN PINES, NC 28387-2927
(910) 295-2100
(910) 295-3625

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL38304
SC
207W00000X
Ophthalmology Physician
Primary
2021-01183
NC
207W00000X
Ophthalmology Physician
35136292
OH
207W00000X
Ophthalmology Physician
TP302
KY
207WX0107X
Retina Specialist (Ophthalmology) Physician
2021-01183
NC

Other

Enumeration date
06/05/2015
Last updated
12/20/2023
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