NPI | 1003818485 |
---|---|
Doing Business As | HEALTH PAVILION FAMILY CARE |
Entity Type | Organization |
Authorized Contact | JOSEPH FISER Executive Director 910-615-5572 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2005-08-15 |
Last Update Date | 2024-01-19 |