ASHLEY WELLNESS CENTER - NPI 1841460755 - Family Medicine in Wilmington, NC

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207QA0000X and a focus in Adolescent Medicine.

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About Ashley Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY WELLNESS CENTER (NPI 1841460755) is a healthcare organization registered as an adolescent medicine in Wilmington, North Carolina and active in the NPI registry since March 2008. The organization lists Maria G Van De Bovenkamp, Director Of Administration, as its authorized official.

NPPES Registry Identity

NPI1841460755

Entity TypeOrganization

Primary Taxonomy207QA0000X

Legal Business NameWILMINGTON HEALTH ACCESS FOR TEENS, INC

Location Address4005 OLEANDER DRWilmington, NC 28403-6816

Mailing Address4005 Oleander DrWilmington, NC 28403-6816 · (910) 790-9949 · Fax (910) 790-9455

Phone(910) 790-9949

Fax(910) 790-9455

Organization SubpartYes

Authorized OfficialMaria G Van De BovenkampDirector Of Administration · (910) 790-9949

Enumeration DateMarch 6, 2008

Last NPPES UpdateOctober 28, 2010

✔ NPI 1841460755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0000X

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.

4005 OLEANDER DR, Wilmington, NC 28403

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Other Names 1

Doing Business AsAshley Wellness Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP