Doctor Name: | DOUGLAS FRANK MESSINA |
NPI Number: | 1104842012 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 9701064 |
Business Practice Address: | 1717 Shipyard Blvd Suite 350 Wilmington, NC - 284038023 |
Business Phone Number: | 9107990110 |
Business Fax Number: | 9107991958 |
Mailing Address: | 1717 Shipyard Blvd, Suite 350 WILMINGTON |
State: | NC |
Postal Code: | 284038023 |
Phone Number: | 9107990110 |
Fax Number: | 9107991958 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 08/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 9701064 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |