Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Clear Water Medical LLC

Organization Physician Assistant · NPI 1043512783

Clear Water Medical LLC provides Physician Assistant services 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 Not confirmed with CMS for 15 years — call before visiting
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

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