Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clear Water Medical LLC

Organization Physician Assistant · NPI 1043512783

Clear Water Medical LLC is a Physician Assistant in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.

Licensed in
NC
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4912 Lake Renaissance Cir
Wilmington, NC 28409-3303
Phone: (910) 465-2783
Fax: (910) 794-4531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101955 (NC)

Record details

NPI number1043512783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Gore — Managing Member · (910) 465-2783
NPI enumeratedDecember 1, 2010
Last updated in NPPESDecember 1, 2010
Mailing addressPo Box 16310, Wilmington, NC 28408-6310

Other providers in Wilmington