| NPI | 1194720466 |
|---|---|
| Doing Business As | FAIRMONT MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS JOHNSON Vice President Finance 910-671-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: NC H0064) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2009-01-27 |