NPI | 1134162597 |
---|---|
Doing Business As | EXPRESS CARE OF HEALTH PAVILION NORTH |
Entity Type | Organization |
Authorized Contact | JOSEPH B FISER VP Managed Care And Revenue Cycle 910-615-5572 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-06-14 |
Last Update Date | 2024-01-19 |