NPI | 1356642342 |
---|---|
Doing Business As | WALLACE URGENT CARE |
Entity Type | Organization |
Authorized Contact | DANIEL GOODWIN Vice President 910-667-7597 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2010-11-08 |
Last Update Date | 2020-06-12 |