specializing in physician assistant in Wilmington, North Carolina

NPI: 1811286156

Provider Type

2

Practice Locations

Mailing Location

PO BOX 538622

LIFESOURCE OF NORTH CAROLINA

ATLANTA, GA 30353

📞 9107429243

📠 8887461787

Practice Location

3205 RANDALL PKWY

SUITE 105

WILMINGTON, NC 28403

📞 9107429243

📠 8887461787

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:4/6/2011
Last Updated:12/29/2021

Credentials

Primary Credential:
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null null null - Physician Assistant in Wilmington, North Carolina