| NPI | 1164793576 |
|---|---|
| Doing Business As | CLINTON MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT LOUIS GIANFORCARO Director 910-592-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2013-05-09 |