NPI | 1265733406 |
---|---|
Doing Business As | PENDER PRIMARY CARE - BURGAW |
Entity Type | Organization |
Authorized Contact | DAN E GOODWIN VP 910-667-7597 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2010-11-04 |
Last Update Date | 2017-01-10 |