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 |