NPI | 1326678236 |
---|---|
Doing Business As | PELICAN FAMILY MEDICINE AT PHYSICIANS DRIVE |
Entity Type | Organization |
Authorized Contact | MARK SAMUEL THOMAS ARMITAGE Owner/Physician 910-792-1001 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-01-20 |
Last Update Date | 2020-01-20 |