| NPI | 1215605118 |
|---|---|
| Doing Business As | PELICAN FAMILY MEDICINE - WRIGHTSVILLE AVE |
| Entity Type | Organization |
| Authorized Contact | GREGORY M BOUNDS CEO 910-267-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-10-06 |