| NPI | 1124552310 |
|---|---|
| Doing Business As | WOLONICK FAMILY PRACTICE CENTER |
| Entity Type | Organization |
| Authorized Contact | LUCIEN STONGE CFO 910-291-7547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2022-09-22 |