Crystal River Psychiatric, Grp
Psychiatry · Wilmington, NC
At a glance
2595 S 17Th St, Wilmington, NC 28401-7748
NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.
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Practice location
2595 S 17Th StWilmington, NC 28401-7748
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Psychiatry
- Taxonomy code
- 2084P0800X
- Enumeration date
- Mar 7, 2007
- Record updated
- Aug 22, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Psychiatry
2084P0800X · Primary
License reported: 104694 NC
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2595 S 17Th StWilmington, NC 28401-7748
- Phone
- (910) 799-2283
- Fax
- (910) 791-9227
Mailing address
2595 S 17TH STWILMINGTON, NC 284017748
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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