NPI | 1609313451 |
---|---|
Doing Business As | WOLONICK FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | MATTHEW D PRACHT CFO 910-291-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2017-01-31 |
Last Update Date | 2021-07-27 |