Organization · Type 2 NPI
Wilmington Proactive Medicine, PA
Primary Care Clinic/Center · Wilmington, NC
NPI number
1124467584
Active
Practice location
1410 Commonwealth Dr, Suite 100
Wilmington, NC 28403-0376
Fax (910) 777-5453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 9701146 (NC) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1124467584
Wilmington Proactive Medicine, PA's National Provider Identifier is 1124467584, issued on Jun 19, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Wilmington, NC. The record was last updated on Aug 16, 2013.