| NPI | 1629170147 |
|---|---|
| Doing Business As | FAMILY PRACTICE OF EDEN |
| Entity Type | Organization |
| Authorized Contact | TAMARA L. HUNT VP Of Practice Management 336-623-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2009-03-02 |