| NPI | 1659508653 |
|---|---|
| Doing Business As | FAIRMONT MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES T. JOHNSON CFO 910-671-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: NC H0064) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |