NPI | 1063713204 |
---|---|
Doing Business As | PENDER PRIMARY CARE - ROCKY POINT |
Entity Type | Organization |
Authorized Contact | DANIEL GOODWIN Vice President 910-667-7597 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2010-11-04 |
Last Update Date | 2021-05-06 |