Provider Demographics
NPI:1679543797
Name:WILCOX, NORA B (MD)
Entity Type:Individual
Prefix:DR
First Name:NORA
Middle Name:B
Last Name:WILCOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11010 BRIDGE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32506-9563
Mailing Address - Country:US
Mailing Address - Phone:850-456-6125
Mailing Address - Fax:850-456-6125
Practice Address - Street 1:NBHC
Practice Address - Street 2:BLDG #3600
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32508-0000
Practice Address - Country:US
Practice Address - Phone:850-452-5242
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA23285208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice