Individual
MS. ELLEN WICKER CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
813 NIXON ST, WILMINGTON, NC 28401-2963
(910) 251-6150
(910) 251-6055
Mailing address
813 NIXON ST, WILMINGTON, NC 28401-2963
(910) 251-6150
(910) 251-6055
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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