| NPI | 1225133408 |
|---|---|
| Doing Business As | ELIZABETHTOWN FAMILY PHYSICIAN |
| Entity Type | Organization |
| Authorized Contact | RONALD WADE COTTLE President 910-862-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 30015) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-04-05 |