NPI | 1629132311 |
---|---|
Former Legal Business Name | RICHARD C. WOLONICK, D.O., P.A. |
Entity Type | Organization |
Authorized Contact | RICHARD C WOLONICK Physician 910-277-8044 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9701899) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2007-12-04 |