| NPI | 1194361923 |
|---|---|
| Doing Business As | WILMINGTON FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | TINA LOUISE HUDSON Practice Manager 910-500-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2020-02-05 |