Gregory J Wilmoth
Dermatologist MOHS-Micrographic Surgeon
4201 Lake Boone Trl Suite 200
Raleigh
, North Carolina 27607-7511
Gregory J Wilmoth
Dermatologist MOHS-Micrographic Surgeon
4201 Lake Boone Trl Suite 200
Raleigh
, North Carolina 27607-7511
(919) 782-7929
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Gregory J Wilmoth
- 4201 Lake Boone Trl Suite 200
- Raleigh, NC
- Zip : 27607-7511
- Fax : (919) 782-7929
- Phone : (919) 782-2152
Second Address
- Gregory J Wilmoth
- 4201 Lake Boone Trl Suite 200
- Raleigh, NC
- Zip : 27607-7511
- Fax : (919) 782-7929
- Phone : (919) 782-2152
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 9900389 | NC |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 9900389 | NC |
National Provider Identifier
| NPI | 1013954742 |
|---|---|
| Provider Name | Gregory J Wilmoth |
| First Address | Raleigh, NC 27607-7511 |
| Second Address | Raleigh, NC 27607-7511 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2006 |
| Last Update Date | 05/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F44690 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.