NPI | 1063953602 |
---|---|
Doing Business As | MASONBORO FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DAVID MOYE Executive Director 919-614-0301 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2017-03-15 |
Last Update Date | 2024-09-04 |