Wilmington Health Access For Teens, Inc in Wilmington - Adolescent Medicine

Wilmington Health Access For Teens, Inc - NPI 1568561207

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 1568561207. The last update date is 2010-10-28.

Wilmington Health Access For Teens, Inc's current location address is 1805 S 13th St, Wilmington, North Carolina. You can contact this provider via phone number 9107725552 and fax number 9107725554. The mailing address for Wilmington Health Access For Teens, Inc is 1805 S 13th St, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wilmington Health Access For Teens, Inc
Address 1805 S 13th St, Wilmington, North Carolina
Phone Number 9107725552
Fax Number 9107725554
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Van De Bovenkamp Maria
Credentials CMA (AAMA)
Telephone Number 9107909949

NPI Number Detail

NPI Number 1568561207
Provider Enumeration Date 2006-09-21
Last Updated Date 2010-10-28

Provider Mailing Address Detail

Address 1805 S 13th St
City Wilmington
State North Carolina (NC)
Post Code 284016469
Phone Number 9107725552
Fax Number 9107725554

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
8701703 NC --

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FAQs about Wilmington Health Access For Teens, Inc

What is the unique 10-digit identification code assigned to Wilmington Health Access For Teens, Inc by the Centers for Medicare & Medicaid Services?

The Wilmington Health Access For Teens, Inc has been issued the NPI (National Provider Identifier) 1568561207, which serves as a unique identifier for healthcare providers, assigned 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 1805 S 13Th St, in the city of Wilmington, NC, with the postal code 284016469.

What is the area of specialization for Wilmington Health Access For Teens, Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Wilmington Health Access For Teens, Inc is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qa0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1568561207 to Wilmington Health Access For Teens, Inc?

The Centers for Medicare & Medicaid Services assigned the 1568561207 to Wilmington Health Access For Teens, Inc on 2006-09-21.

As of what date were the Wilmington Health Access For Teens, Inc's details last updated?

The information pertaining to the Wilmington Health Access For Teens, Inc, including its address, specialty, and other details, was most recently updated on 2010-10-28.

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