Organization
PEDZFEEDZ, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANNETTE BLOIS MARTIN PNP (CEO)
(919) 270-6781
Entity
Organization
Contact information
Practice address
720 SAINT JAMES DR, WILMINGTON, NC 28403
(919) 270-6781
(919) 270-6781
Mailing address
36 NEWPORT ST, OCEAN ISLE BEACH, NC 28469-7626
(919) 270-6781
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
05/15/2018
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