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WILMINGTON FAMILY PRACTICE PLLC NPI 1194361923


NPI Information

NPI: 1194361923
Provider Name: WILMINGTON FAMILY PRACTICE PLLC

Doing Business As: WILMINGTON FAMILY PRACTICE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
201 N FRONT ST STE 102
WILMINGTON, NC
ZIP 28401
Phone: (910) 500-6451
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WILMINGTON FAMILY PRACTICE PLLC is a primary care clinic center in Wilmington, NC. WILMINGTON FAMILY PRACTICE PLLC NPI is 1194361923. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wilmington Family Practice.

The provider's business location address is:

201 N FRONT ST STE 102
WILMINGTON, NC
ZIP 28401-055
Phone: (910) 500-6451
Fax: (910) 500-6458

The provider's authorized official is Tina Louise Hudson .
The authorized official title is Practice Manager and has the following contact phone number (910) 500-6415.

The enumeration date for this NPI number is 11/27/2019 and was last updated on 2/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction MedicineNo
2261QP2300XClinic/CenterPrimary CareYes
3363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11669918223OTHERNORTH CAROLINANPI
21821295668MEDICAIDNORTH CAROLINA
31992351910MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.