Wilmington Health Access For Teens, Inc in Wilmington - Adolescent Medicine
Wilmington Health Access For Teens, Inc - NPI 1902905649
Wilmington Health Access For Teens, Inc is a Adolescent Medicine in Wilmington, North Carolina. Wilmington Health Access For Teens, Inc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Wilmington Health Access For Teens, Inc is 1902905649. The last update date is 2010-10-28.
Wilmington Health Access For Teens, Inc's current location address is 4005 Oleander Dr, Wilmington, North Carolina. You can contact this provider via phone number 9107909949 and fax number 9107909455. The mailing address for Wilmington Health Access For Teens, Inc is 4005 Oleander Dr, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wilmington Health Access For Teens, Inc |
|---|---|
| Address | 4005 Oleander Dr, Wilmington, North Carolina |
| Phone Number | 9107909949 |
| Fax Number | 9107909455 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Van De Bovenkamp G Maria |
| Credentials | CMA (AAMA) |
| Telephone Number | 9107909949 |
NPI Number Detail
| NPI Number | 1902905649 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2010-10-28 |
Provider Mailing Address Detail
| Address | 4005 Oleander Dr |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284036816 |
| Phone Number | 9107909949 |
| Fax Number | 9107909455 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8701705 | NC | -- |
Post Comment/ Review Below
What is the Wilmington Health Access For Teens, Inc's 1902905649?
The Wilmington Health Access For Teens, Inc's NPI (National Provider Identifier) Number is 1902905649. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wilmington Health Access For Teens, Inc's physical address?
The Wilmington Health Access For Teens, Inc is physically located at 4005 Oleander Dr, in the city of Wilmington, NC, with the postal code 284036816.
What is Wilmington Health Access For Teens, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wilmington Health Access For Teens, Inc is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902905649 to Wilmington Health Access For Teens, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1902905649 to Wilmington Health Access For Teens, Inc on 2006-09-21.
When was the Wilmington Health Access For Teens, Inc's information last updated?
The Wilmington Health Access For Teens, Inc's information was last updated on 2010-10-28.