| 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 | 2021-07-16 |