NPI | 1326239328 |
---|---|
Entity Type | Organization |
Authorized Contact | ROY WAYNE WATKINS Family Physician 366-545-1020 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 38237) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2007-08-05 |