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Individual

ANNA WILKINS MCCORMICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5306 SIX FORKS RD STE 217, RALEIGH, NC 27609-4468
(919) 739-4287
(919) 890-9237
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
5008710
NC
363LP0200X
Pediatric Nurse Practitioner
5008710
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5008710
NC

Other

Enumeration date
07/08/2016
Last updated
12/13/2024
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