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Elijah Engwall
Family Medicine Physician in Wilmington, North Carolina
NPI 1386131639

Elijah Engwall is a Family Medicine Physician based in Wilmington, NC. Elijah Engwall practices in Wilmington, NC. The NPI Number for Elijah Engwall is 1386131639 and holds a License No. (North Carolina).

The current practice location address for Elijah Engwall is 1124 Gallery Park Boulevard, Wilmington, NC and can be reached out via phone at 910-341-1544.

Location: 1124 Gallery Park Boulevard, Wilmington, NC, 28401-7307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386131639
Provider Name
Elijah Engwall
Credential
Provider Entity Type
Individual
Gender
Male
Address
1124 Gallery Park Boulevard, Wilmington, NC, 28401-7307
Phone Number
910-341-1544
Fax Number
Provider Enumeration Date
04/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1124 Gallery Park Boulevard
City
Wilmington
State
North Carolina
Zip
28412
Phone Number
910-341-1544
Fax Number
person
Provider Business Mailing Address Details
Address
1124 Gallery Park Boulevard
City
Wilmington
State
North Carolina
Zip
28412
Phone Number
910-341-1544
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2021-00517 (North Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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