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

ROSE S SOUTHERLAND, DPM

Active Sole Proprietor

ROSE S SOUTHERLAND, DPM is a Radiology Podiatrist healthcare provider located in WILMINGTON, North Carolina. NPI 1790823334 is currently active in the NPPES registry. Verify at CMS.

Radiology Podiatrist · WILMINGTON, NC

Registration Details

NPI Number
1790823334
Provider Type
Individual
Gender
Female
NPI Issued
Feb 4, 2007 (19.519593067514 yrs)
Last Updated
Mar 23, 2018
Licenses
520 (NC)
520 (NC)
Sole Proprietor
Yes

Practice Information

Address
1202 MEDICAL CENTER DR
WILMINGTON, NC, 284017307
Browse NC providers · Browse ZIP 28401
Phone
9103413300
Fax
9102512067
Primary Specialty
Radiology Podiatrist
213EP1101X
Additional Specialty
Radiology Podiatrist

Other Radiology Podiatrist Providers in WILMINGTON, NC

Name Credential NPI
DR. GREGORY GIRARD YOUNG DPM 1689676009
DR. SUSIE NELY SANT ANNA DPM 1477527562
CARINE MARIE KHOURI DPM 1801074588
DR. DEREK TYLER PANTIEL DPM 1528353638
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.