Individual
MRS. CAROLINE GOOCH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 SABRA DR, WILMINGTON, NC 28405-3833
(910) 612-6162
Mailing address
340 SABRA DR, WILMINGTON, NC 28405-3833
(910) 612-6162
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-09658
NC
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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