Gregory Jennings Wilmoth
SOUTHERN DERMATOLOGY PA


Address: 4201 Lake Boone Trl, Suite 200, Raleigh, NC 27607-7511
Phone: 9197822152

Gregory Jennings Wilmoth (NPI# 1013954742, PAC ID# 5890759427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1013954742
PAC ID by PECOS 5890759427
Professional Enrollment ID I20100331000931
Full Name Gregory Jennings Wilmoth
Organization Legal Name SOUTHERN DERMATOLOGY PA
Address 4201 Lake Boone Trl
Suite 200
Raleigh
NC 27607-7511
Phone Number 9197822152
Gender M
Medical School BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY
Graduation Year 1991
Primary Specialty DERMATOLOGY
Group Practice PAC ID 7012971609
Number of Group Practice Members 10
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4201 Lake Boone Trl, Suite 200, Raleigh, NC 27607-7511 9197822152 SOUTHERN DERMATOLOGY PA

Organization Information

Organization Legal Name SOUTHERN DERMATOLOGY PA
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Tracey Steele Cloninger Physician Assistant Southern Dermatology Pa 4201 Lake Boone Trl, Suite 200, Raleigh, NC 27607-7511
Stephanie Shannon Nurse Practitioner Southern Dermatology Pa 4201 Lake Boone Trl, Suite 200, Raleigh, NC 27607-7511
Eric Daniel Challgren Dermatology Southern Dermatology Pa 4201 Lake Boone Trl, Suite 200, Raleigh, NC 27607-7511
Laura Dennison Briley Dermatology Southern Dermatology Pa 4201 Lake Boone Trl, Suite 200, Raleigh, NC 27607-7511
Margaret B Boyse Dermatology Southern Dermatology Pa 4201 Lake Boone Trl, Suite 200, Raleigh, NC 27607-7511

Office Location

Street Address 4201 LAKE BOONE TRL
SUITE 200
City RALEIGH
State NC
Zip 27607-7511

Physicians in the same location

Name Specialty Organization Address
Nouman Siddiqui Ophthalmology 4201 Lake Boone Trl, Suite 205, Raleigh, NC 27607-7511
Tracey Steele Cloninger Physician Assistant Southern Dermatology Pa 4201 Lake Boone Trl, Suite 200, Raleigh, NC 27607-7511
Daljit Singh Buttar Interventional Pain Management 4201 Lake Boone Trl, Suite 100, Raleigh, NC 27607-7511
Stephanie Shannon Nurse Practitioner Southern Dermatology Pa 4201 Lake Boone Trl, Suite 200, Raleigh, NC 27607-7511
Daryl C Emery Cardiovascular Disease (cardiology) Rex Hospital Inc 4201 Lake Boone Trl, Suite 104, Raleigh, NC 27607-7511
Neil S Barry Psychologist, Clinical Hrc Behavioral Health and Psychiatry, Pa 4201 Lake Boone Trl, Suite 201, Raleigh, NC 27607-7511
Whitney T Brooks Psychologist, Clinical Hrc Behavioral Health and Psychiatry, Pa 4201 Lake Boone Trl, Suite 201, Raleigh, NC 27607-7511
William D Lee Jr. Family Medicine William Lee Family Medicine, P.a. 4201 Lake Boone Trl, Suite 102, Raleigh, NC 27607-7511
Eric Daniel Challgren Dermatology Southern Dermatology Pa 4201 Lake Boone Trl, Suite 200, Raleigh, NC 27607-7511
Douglas G Briggs Family Medicine Neighborhealth Center, Inc. 4201 Lake Boone Trl, Suite 5, Raleigh, NC 27607-7511
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Carol J Goodson Certified Registered Nurse Anesthetist (crna) American Anesthesiology of North Carolina Pllc 2308 Wesvill Ct, Raleigh, NC 27607-2949
Linda Brooke Thompson Anesthesiology Assistant American Anesthesiology of North Carolina Pllc 2308 Wesvill Ct, Raleigh, NC 27607-2949
Karen A Rassette Certified Registered Nurse Anesthetist (crna) American Anesthesiology of North Carolina Pllc 2308 Wesvill Ct, Raleigh, NC 27607-2949
Laura L Wrenn Certified Registered Nurse Anesthetist (crna) American Anesthesiology of North Carolina Pllc 2308 Wesvill Ct, Raleigh, NC 27607-2949
Jennifer L St.jean Certified Registered Nurse Anesthetist (crna) American Anesthesiology of North Carolina Pllc 2308 Wesvill Ct, Raleigh, NC 27607-2949
Misti L Berrong Certified Registered Nurse Anesthetist (crna) American Anesthesiology of North Carolina Pllc 2308 Wesvill Ct, Raleigh, NC 27607-2949
Mary S Kennedy Certified Registered Nurse Anesthetist American Anesthesiology of North Carolina, Pllc 2308 Wesvill Ct, Raleigh, NC 27607-2949
Nisha Thannikkary Manickam Infectious Disease Raleigh Infectious Diseases Associates Pa 2304 Wesvill Court, Suite 240, Raleigh, NC 27607-2973
Lorena Benavides Obstetrics/gynecology Uwh of North Carolina LLP 2304 Wesvill Ct, Suite 210, Raleigh, NC 27607-2973
John A Bullington Nurse Practitioner Raleigh Infectious Diseases Associates Pa 2304 Wesvill Court, Suite 240, Raleigh, NC 27607-2973
Find all physicians in zip 27607

Competitor

Search similar physicians

City RALEIGH
Zip Code 27607
Specialty DERMATOLOGY
City + Specialty RALEIGH + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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