| NPI | 1063712727 |
|---|---|
| Other Name | FAMILY MEDICINE AT EUGENE STREET |
| Entity Type | Organization |
| Authorized Contact | BRIAN K ELLERBY Chief Executive Officer 336-355-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NC 10670) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2013-11-26 |