NPI | 1568697175 |
---|---|
Doing Business As | WRIGHTSVILLE BEACH FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DANIEL GOODWIN Vice President 910-667-7597 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
Enumeration Date | 2009-05-27 |
Last Update Date | 2021-05-06 |