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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TODD MACKILLOP, PA

Active

TODD MACKILLOP, PA is a Physician Assistant healthcare provider located in WILMINGTON, North Carolina. NPI 1164511572 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WILMINGTON, NC

Registration Details

NPI Number
1164511572
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2006 (19.829535614304 yrs)
Last Updated
May 20, 2022
License
0010-03623 (NC)

Practice Information

Address
615 SHIPYARD BLVD
WILMINGTON, NC, 284126431
Browse NC providers · Browse ZIP 28412
Phone
9103430145
Fax
9102029966
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WILMINGTON, NC

Name Credential NPI
MS. KIMBERLY BROWN FARMER PA-C 1851395198
DANIEL IRVING SHAPIRO PA-C 1902805906
JOHN T HOARD P.A. 1598764599
KYRA F WILLIAMS PA-C 1992704902
LUTHER W FREAS PA-C 1205835204
DANIEL ANDREW CULBRETH PA 1982606638
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.