NPI | 1669123931 |
---|---|
Doing Business As | FIRSTHEALTH PASSPORT CLINIC |
Entity Type | Organization |
Authorized Contact | MICKEY FOSTER CEO 910-715-4473 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
Enumeration Date | 2022-01-18 |
Last Update Date | 2022-01-18 |