| NPI | 1679024848 |
|---|---|
| Doing Business As | FAMILY WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID MOYE Director 919-233-5956 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |