NPI | 1003874975 |
---|---|
Doing Business As | RAPHA PRIMARY CARE CENTER OF FAYETTEVILLE |
Entity Type | Organization |
Authorized Contact | DANIEL CHIDI UBA Md/Owner 910-864-4357 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-05-02 |
Last Update Date | 2020-08-22 |