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

Magnolia Family Medicine PC

Organization Family Medicine Physician · NPI 1639319213

Magnolia Family Medicine PC is a Family Medicine Physician in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3720 Shipyard Blvd
Wilmington, NC 28403-6147
Phone: (910) 796-3212
Fax: (910) 796-3216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9500364 (NC)

Record details

NPI number1639319213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Gutsin — Owner · (910) 796-3212
NPI enumeratedFebruary 23, 2009
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020
Mailing address3720 Shipyard Blvd, Wilmington, NC 28403-6147

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