Ave Maria Family Practice, Pllc

LBN: Ave Maria Family Practice, Pllc
Ave Maria Family Practice, Pllc is an health care organization with primary practice located at 1230 Medical Center Dr , Wilmington NC 28401. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Ave Maria Family Practice, Pllc can be contacted via phone (910) 799-5452, or through Agbafe-Mosley, Dorothy Ejinkonye via phone (910) 799-5452.

Contact Information

Primary practice address
1230 Medical Center Dr Wilmington NC 28401
Fax: (910) 799-5479
Website:
Authorized official contact:
Name: Agbafe-Mosley, Dorothy Ejinkonye Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2009-01999 North Carolina
Ambulatory Health Care Facilities / Primary Care 261QP2300X 179288 North Carolina
Ambulatory Health Care Facilities / Primary Care 261QP2300X 2009-01999 North Carolina

Profile Details

NPI number 1215205539
LBN Legal business name Ave Maria Family Practice, Pllc
DBA Doing business as
Authorized official Agbafe-Mosley, Dorothy Ejinkonye Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2011
Last updated Jul 17th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215205539 NPPES
North Carolina MEDICAID 5915683

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