| NPI | 1306010558 |
|---|---|
| Doing Business As | BLADENBORO FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN HAROLD ROYAL President 910-671-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2011-04-14 |