Medley, Mark Frederick

Medley, Mark Frederick is an individual health care provider with primary practice located at 1414 Medical Center Dr , Wilmington NC 28401-7505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Medley, Mark Frederick can be contacted via phone (910) 763-7363.

Contact Information

Primary practice address
1414 Medical Center Dr Wilmington NC 28401-7505
Phone: (910) 763-7363
Fax: (910) 251-8296
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9501604 North Carolina

Profile Details

NPI number 1780664086
LBN Legal business name Medley, Mark Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated May 3rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780664086 NPPES
North Carolina MEDICAID 8958473

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