Theraque
Theraque is a Public Health & General Preventive Medicine Physician in Wilmington, North Carolina. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 4
Practice location Address checks out
301 Government Center Dr Ste 200Wilmington, NC 28403-1796
Phone: (910) 828-7117
Fax: (910) 828-7118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Corporate Health Clinic/Center (primary) | Taxonomy 261QC1800X |
|---|---|
| Public Health & General Preventive Medicine Physician | Taxonomy 2083P0901X |
| General Practice Physician | Taxonomy 208D00000X |
| Community Health Clinic/Center | Taxonomy 261QC1500X |
Record details
| NPI number | 1225760325 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amber Wysocki — Chief Executive Officer · (910) 828-7117 |
| Other names | Theraque Health |
| NPI enumerated | June 28, 2022 |
| Last updated in NPPES | June 28, 2022 |
| Certification date | June 28, 2022 |
| Mailing address | 301 Government Center Dr Ste 200, Wilmington, NC 28403-1796 |
Other providers in Wilmington
-
Revival Medical Group
1508 Military Cutoff Rd Ste 203, Wilmington, NC 28403-5730 · (910) 679-4312