| NPI | 1114766284 |
|---|---|
| Doing Business As | FORT HEALTH MEDICAL GROUP OF NC |
| Entity Type | Organization |
| Authorized Contact | TRACI CROSBY Credentialing Manager 201-503-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |