Provider Demographics
NPI:1740482108
Name:WORRIAX, JAMES D (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:WORRIAX
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6132 CAROLINA BEACH RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-2788
Mailing Address - Country:US
Mailing Address - Phone:910-794-4947
Mailing Address - Fax:910-794-4943
Practice Address - Street 1:6132 CAROLINA BEACH RD
Practice Address - Street 2:SUITE 8
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-2788
Practice Address - Country:US
Practice Address - Phone:910-794-4947
Practice Address - Fax:910-794-4943
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2012-12-13
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Provider Licenses
StateLicense IDTaxonomies
NC122098207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1477NOtherBCBS
NC5908726Medicaid
NC1477NOtherBCBS