Provider Demographics
NPI:1679345565
Name:UNCW STUDENT HEALTH CENTER
Entity Type:Organization
Organization Name:UNCW STUDENT HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATRIN
Authorized Official - Middle Name:ADELHEID
Authorized Official - Last Name:WESNER-HARTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-962-4126
Mailing Address - Street 1:601 S COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-5985
Mailing Address - Country:US
Mailing Address - Phone:910-962-4126
Mailing Address - Fax:910-962-4130
Practice Address - Street 1:601 S COLLEGE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-5985
Practice Address - Country:US
Practice Address - Phone:910-962-3280
Practice Address - Fax:910-962-4130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty